Sarah Virginia Bulthuis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401014457 Issued in MI

Practice address

11630 Fulton St E
Lowell, MI 49331-9426

Phone

(616) 481-3784

Fax

(866) 496-2998

NPI assigned

Jan 9, 2019

Last updated

Jul 28, 2026By 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 2

Addresses

Other names 1

• Sarah Virginia Peterle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Creative Solutions Counseling

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1538400882
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1932672243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTHUIS",
        "first_name": "SARAH",
        "middle_name": "VIRGINIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014457",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PETERLE",
            "middle_name": "VIRGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Brand
• Laura A Brandt, MA
• Brendas Little Acres LLC
• Jacoba Marie Briggs-Limbers
• Tamara Brown, LMSW
• Eric Franklin Busch, MT-BC
• Jennifer Byrd, DDS
• Judd Timothy Carroll, D.M.D.
• Lindsay Rose Chapin, AFMC
• Daniel Arthur Chapman, RN

• Mental Health Counselor in Lowell, MI
• Providers in Lowell, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.