Individual provider Active NPI

Olivia Brenninkmeijer, MA, LPC, NCC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1649902701
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225492 Issued in MI
Practice address
4829 E Beltline Ave NE Ste 302
Grand Rapids, MI 49525-9350
Phone
(616) 226-6522
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 6401225492 MI Primary

Addresses

Primary practice location

4829 E Beltline Ave NE Ste 302
Grand Rapids, MI 49525-9350

Mailing address

2717 Maplewood Dr SE
East Grand Rapids, MI 49506-4729
Phone (231) 866-1160

Other practice location 1

2422 Burton St SE Ste B
Grand Rapids, MI 49546-4810
Phone (616) 226-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401225492MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1649902701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MAPLEWOOD DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064729",
            "telephone_number": "231-866-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-226-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2422 Burton St SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495464810",
            "country_code": "US",
            "telephone_number": "616-226-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNINKMEIJER",
        "first_name": "OLIVIA",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.