Wendy Dykstra

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007810 Issued in MI

Practice address

16081 64TH St
South Haven, MI 49090-7712

Phone

(269) 910-6889

NPI assigned

Apr 19, 2013

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wendy Dykstra LLC

  • Professional Counselor
  • South Haven, MI
  • NPI 1821690298

  Professional

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wendydykstra@tdh.allscriptsdirect.net

• Wendy Holmquist Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2020.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1962846014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16081 64TH ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907712",
            "telephone_number": "269-910-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16081 64TH ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907712",
            "telephone_number": "269-910-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HOLMQUIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Jean Dotson, MD
• Aricel Rivera Dunn
• Philip B Durden, CRNA
• Marylou Duron, FNP
• Courtney Dwyer
• Eim Services LLC
• Arlynne Mildred Eisner, M.D.
• Kelly Pinney Ellis, MA, LPC, BCPC
• Samantha Lee Emerson, PA-C
• Birgit Erickson

• All providers in South Haven, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.