Megan Lynn Vandyke, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451019688 Issued in MI

Practice address

233 Fulton St E Ste 526
Grand Rapids, MI 49503-3269

Phone

(616) 805-3660

Fax

(616) 805-3661

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1710654041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 526",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033269",
            "telephone_number": "616-805-3660",
            "fax_number": "616-805-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 526",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033269",
            "telephone_number": "616-805-3660",
            "fax_number": "616-805-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Vandyke
• Justin Timothy Vandyke, PT, DPT
• Karen Vandyke, MSW
• Kate Vandyke
• Lisa Anne Vandyke, RN
• Melissa Vandyke, LMSW
• Rebecca Vandyke, PA-C
• Scott Alan Vandyke
• Steven A Vandyke, M.S.W., C.S.W.
• Trisha Marie Vandyke, MA, CCC-SLP

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.