Andrew J Boekestein, LPC
Individual provider Active NPI Professional Counselor · Ada, MI
NPI 1962716563 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1962716563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401012220 (MI)
- Practice address
- 1801 Timber Canyon Dr SE
Ada, MI 49301-8772 - Phone
- (616) 202-3055
- NPI assigned
- Aug 6, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260218004148 | MI | Practitioner - Mental Health Counselor | 9830679737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012220 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Growth Counseling | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
| D a Blodgett-St Johns | Past |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401012220 | MI | Yes |
Addresses
Primary practice location
1801 Timber Canyon Dr SE
Ada, MI 49301-8772
Mailing address
1801 Timber Canyon Dr SE
Ada, MI 49301-8772
Phone (616) 528-2846
Other providers in Ada, MI
- Amy Renae Bell
- Mary Kathryn Bennett
- Madison Victoria Berridge
- Bethany Sluiter Counseling, LLC Dba Grove Collaborative Counseling
- James Douglas Birmingham
- Julia Bos
- Madeline Breay
- Bright Life Therapies LLC
- Claire Burch
- Kathleen Burmania
All providers in Ada, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.