Individual provider Active NPI

Brigid Eilleen Havens, LPC

  • Mental Health Counselor
  • Calumet, MI
National Provider Identifier
1902533805
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401224540 Issued in MI
Practice address
PO Box 143
Calumet, MI 49913-0143
Phone
(906) 319-8725
NPI assigned
Aug 2, 2022
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 6401224540 MI Primary

Addresses

Primary practice location

PO Box 143
Calumet, MI 49913-0143

Mailing address

PO Box 143
Calumet, MI 49913-0143
Phone (906) 319-8725

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
I20241203000892 MI Practitioner - Mental Health Counselor 2062947898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centennial Park Counseling PLLCGroup PAC ID 7517340557, 8 clinicians

Practice addresses (Care Compare)

2828 Kraft Ave SE
Suite 186
Grand Rapids, MI 49512-2076
Phone 6169499550164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401224540MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Change Therapy LLC Counselor CurrentSince Mar 11, 2025 Accepting new patients
Centennial Park Counseling, PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

2828 Kraft Ave SE
Ste 186
Grand Rapids, MI 49512
Phone (616) 591-6645

4612 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 363-7713

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

881 44th St SW
Uppr
Wyoming, MI 49509

Organizations & group practices 2

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1902533805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499130143",
            "telephone_number": "906-319-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499130143",
            "telephone_number": "906-319-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "BRIGID",
        "middle_name": "EILLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet, MI

Sources for this page

Verify at the official NPI Registry.