Individual provider Active NPI

Susan Colombo

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1851819924
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Phone
(616) 259-7900
NPI assigned
Sep 8, 2017
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1131 Ionia Ave NW
Grand Rapids, MI 49503-1020

Mailing address

1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Phone (616) 259-7900

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001135 MI Practitioner - Mental Health Counselor 5395196745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Counseling Services LLCGroup PAC ID 5294972808, 2 clinicians
Montcalm Care NetworkGroup PAC ID 8123000932, 12 clinicians

Practice addresses (Care Compare)

507 S Nelson Dr
Greenville, MI 48838-2197
Phone (616) 754-9420

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montcalm Care Network CurrentSince Jan 1, 2024 Accepting new patients
Interact of Michigan, Inc CurrentSince Jul 24, 2022 Accepting new patients
Transitions Counseling Services, LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

1131 Ionia Ave NW
Grand Rapids, MI 49503
Phone (616) 259-7900

507 S Nelson St
Greenville, MI 48838
Phone (616) 303-9787

611 N State St
Stanton, MI 48888
Phone (989) 831-7520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1851819924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 IONIA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031020",
            "telephone_number": "616-259-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 IONIA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031020",
            "telephone_number": "616-259-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBO",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.