Michelle McDonald

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015215 Issued in MI

Practice address

250 Monroe Ave NW Ste 400
Grand Rapids, MI 49503-2293

Phone

(616) 228-1286

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trio Wellspace, LLCGroup PAC ID 5092197699, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trio Wellspace, LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1831859826
  Medicare reassignment Care Compare group NPD
• Life Journey PLLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1538531017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1558837484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 MILLSTREAM LOOP SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MONROE AVE NW STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032293",
            "telephone_number": "616-228-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh McDonald, LLMSW
• Jasmine Toranda McDonald, BEHAVIOR TECHNICIAN
• Madison McDonald
• Markiarri McDonald
• Megan McDonald, LLMSW
• Nicole M McDonald, BSW
• Richard Arthur McDonald, ASSOCIATE SALES
• Saige Elizabeth McDonald
• Samantha McDonald
• Sarah McDonald

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.