Heidi Carlson, RD
Individual provider Active NPI Professional Counselor · Wyoming, MI
NPI 1538502000 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1538502000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1055 Gezon Pkwy SW
Wyoming, MI 49509-9542 - Phone
- (616) 773-2908
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029214 | MI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MI | Yes | |
| Registered Dietitian | 133V00000X | 01029214 | MI |
Addresses
Primary practice location
1055 Gezon Pkwy SW
Wyoming, MI 49509-9542
Mailing address
4152 Chaminade Dr SW
Grandville, MI 49418-2589
Other names
- Heidi Siner
Other providers in Wyoming, MI
- Amanda Caponigro
- Pamela Sue Cappella
- Care One Home Health Services, Inc.
- Mechon C Carew
- Mark Alan Carey
- Olivia Grace Carpenter
- Jack Neerken Carr
- Cesly Carrillo-Lopez
- Jordynn Carrington
- Stefanie Carroll
All providers in Wyoming, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.