Individual provider Active NPI

Adeline Reeves, LPC

  • Professional Counselor
  • Byron Center, MI
National Provider Identifier
1558901942
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222395 Issued in MI
Practice address
1410 84TH St SW
Byron Center, MI 49315-9344
Phone
(616) 222-0631
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401017638 MI
Professional Counselor 101YP2500X 6401222395 MI Primary

Addresses

Primary practice location

1410 84TH St SW
Byron Center, MI 49315-9344

Mailing address

1530 Beckwith View Ave NE Apt 13
Grand Rapids, MI 49505-5882
Phone (989) 763-0797

Other practice location 1

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

Other names 1

  • Adeline Zemcik Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240226000544 MI Practitioner - Mental Health Counselor 2860837259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

1410 84TH St SW
Byron Center, MI 49315-9344
Phone (616) 222-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017638MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Group Counseling & Consulting Professionals LLC Professional CurrentSince Jan 13, 2024 Accepting new patients

Locations

1410 84th St SW
Byron Center, MI 49315
Phone (616) 222-0631

756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1558901942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BECKWITH VIEW AVE NE APT 13",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055882",
            "telephone_number": "989-763-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-222-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N State St",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "MI",
            "postal_code": "488889702",
            "country_code": "US",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ADELINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017638",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELINE",
            "last_name": "ZEMCIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.