Individual provider Active NPI

Megan Joy Ipema, FNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wyoming, MI
National Provider Identifier
1699053827
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704259357 Issued in MI
Practice address
4124 56TH St SW Ste 4
Wyoming, MI 49418-9494
Phone
(616) 785-3883
Fax
(616) 785-1982
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704259357 MI Primary
Family Medicine Physician 207Q00000X 4704259357 MI

Addresses

Primary practice location

4124 56TH St SW Ste 4
Wyoming, MI 49418-9494

Mailing address

10450 River Bluff TRL
Zeeland, MI 49464-1421
Phone (616) 403-0680

Other identifiers 1

IdentifierTypeStateIssuer
1699053827MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL megan@alliancecounselinggroup.com Health Information Exchange (HIE)

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002673 MI Practitioner - Nurse Practitioner 2264721653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

4124 56TH St SW
Suite 4
Wyoming, MI 49418-9494
Phone (616) 222-0631

756 Fulton St W
Grand Rapids, MI 49504-6404
Phone (616) 222-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Family Health PLC Family Medicine CurrentSince Mar 29, 2016 Accepting new patients
Burke Group Counseling & Consulting Professionals LLC CurrentSince Sep 5, 2022 Accepting new patients

Locations

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

388 Garden Ave
Ste 110
Holland, MI 49424
Phone (616) 222-0631

4700 32nd Ave
Hudsonville, MI 49426
Phone (616) 662-2011

4124 56th St SW
Ste 4
Wyoming, MI 49418
Phone (616) 222-0631

Organizations & group practices 2

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1699053827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 RIVER BLUFF TRL",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641421",
            "telephone_number": "616-403-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 56TH ST SW STE 4",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189494",
            "telephone_number": "616-785-3883",
            "fax_number": "616-785-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPEMA",
        "first_name": "MEGAN",
        "middle_name": "JOY",
        "credential": "FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704259357",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704259357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699053827",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "megan@alliancecounselinggroup.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4124 56th St SW Ste 4",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494189494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.