Individual provider Active NPI

Adilenne Bedolla, M.A., LLPC

  • Mental Health Counselor
  • Holland, MI
National Provider Identifier
1790699072
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451025393 Issued in MI
Practice address
12330 James St Ste B70
Holland, MI 49424-8580
Phone
(616) 757-7572
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451025393 MI Primary

Addresses

Primary practice location

12330 James St Ste B70
Holland, MI 49424-8580

Mailing address

12330 James St Ste B70
Holland, MI 49424-8580
Phone (616) 757-7572

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1790699072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE B70",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248580",
            "telephone_number": "616-757-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE B70",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248580",
            "telephone_number": "616-757-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOLLA",
        "first_name": "ADILENNE",
        "name_prefix": "Ms.",
        "credential": "M.A., LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451025393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.