Individual provider Active NPI

Stephanie Marie Meston, M.A., L.P.C.

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1639291453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007682 Issued in MI
Practice address
750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400
Phone
(616) 459-8971
Fax
(616) 459-2361
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007682 MI Primary

Addresses

Primary practice location

750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400

Mailing address

750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400
Phone (616) 459-8971

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
I20260130001298 MI Practitioner - Mental Health Counselor 6406074996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Behavioral HealthGroup PAC ID 6406348374, 3 clinicians

Practice addresses (Care Compare)

4565 Wilson Ave SW
Suite 1a
Grandville, MI 49418-2371
Phone (616) 215-0919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401007682MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Behavioral Health Professional CurrentSince Dec 16, 2025 Accepting new patients

Locations

4565 Wilson Ave SW
Ste 1A
Grandville, MI 49418
Phone (616) 215-0919

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639291453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FRONT AVE NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044400",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FRONT AVE NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044400",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.