Organization Active NPI

Beth Pelletier Counseling LLC

  • Clinical Social Worker
  • Spring Lake, MI
National Provider Identifier
1740082049
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETH PELLETIER COUNSELING LLC
Practice address
15128 Snowberry CT
Spring Lake, MI 49456-2814
Phone
(616) 516-4491
NPI assigned
Mar 26, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Elizabeth PelletierNPI 1780206391
Title
Owner
Phone
(616) 516-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

15128 Snowberry CT
Spring Lake, MI 49456-2814

Mailing address

15128 Snowberry CT
Spring Lake, MI 49456-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428000298 MI Part B Supplier - Clinic/Group Practice 4789100355 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Haven, MI; Spring Lake, MI

National Provider Directory

National Provider Directory

Locations

41 Washington Ave
Ste 268
Grand Haven, MI 49417
Phone (616) 441-5513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1740082049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15128 SNOWBERRY CT",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15128 SNOWBERRY CT",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562814",
            "telephone_number": "616-516-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH PELLETIER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-516-4491"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.