Individual provider Active NPI

Christine Leadbetter, LPCC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1629746235
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401224584 Issued in MI
Practice address
3950 Sparks Dr SE Ste 103
Grand Rapids, MI 49546-6159
Phone
(517) 492-0784
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401224584 MI Primary
Professional Counselor 101YP2500X 6401224584 MI

Addresses

Primary practice location

3950 Sparks Dr SE Ste 103
Grand Rapids, MI 49546-6159

Mailing address

3950 Sparks Dr SE Ste 103
Grand Rapids, MI 49546-6159
Phone (517) 492-0784

Other practice location 1

92 N Bridge St
Saranac, MI 48881-5102
Phone (616) 642-6466

Other practice location 2

1585 Pleasant Wood NE
Rockford, MI 49341-7577
Phone (810) 845-7543

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
I20241218003772 MI Practitioner - Mental Health Counselor 9032646708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

3950 Sparks Dr SE
Suite 103
Grand Rapids, MI 49546-6159
Phone (517) 882-3732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Mental Health CurrentSince Oct 17, 2024 Accepting new patients
Downriver Mental Health Clinic PC Professional CurrentSince Oct 17, 2024 Accepting new patients
The Four Health Family Resource Center Inc Professional CurrentSince Sep 1, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

3950 Sparks Dr SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 455-5000

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.christineleadbetter@150339.advancedmd-direct.com

Organizations & group practices 3

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1629746235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SPARKS DR SE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466159",
            "telephone_number": "517-492-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SPARKS DR SE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466159",
            "telephone_number": "517-492-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Saranac",
            "state": "MI",
            "postal_code": "488815102",
            "country_code": "US",
            "telephone_number": "616-642-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 Pleasant Wood NE",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493417577",
            "country_code": "US",
            "telephone_number": "810-845-7543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEADBETTER",
        "first_name": "CHRISTINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224584",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.