Elizabeth Pelletier

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801102809 Issued in MI

Practice address

1055 Gezon Pkwy SW
Wyoming, MI 49509-9542

Phone

(616) 773-2908

Fax

(616) 532-3046

NPI assigned

May 18, 2020

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Beth Pelletier Counseling LLC

  • Clinical Social Worker
  • Spring Lake, MI
  • NPI 1740082049
  Medicare reassignment NPD Authorized official
• Anne Parpas Counseling LLC

  dba Integrative Health Consultants

  • Mental Health Counselor
  • Wyoming, MI
  • NPI 1740613132
  NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1780206391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BROOKMARK ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099542",
            "telephone_number": "616-773-2908",
            "fax_number": "616-532-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen John Pawloski, RPH
• Susanne Peck, OTR/L
• Pediatrics Primary Care PLLC
• Gabriel E Pedraza, MD
• Timothy J Pelkey, MD
• Todd Anthony Penn, PHARM.D.
• Kelly M Peregrine, PT, DPT
• Buenaventura Carmen Pereyra, M.D
• Anais Perez Villar
• Molly Irene Perez, LMSW

• Social Worker in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.