Individual provider Active NPI

Daniel Ryan Zomerlei, PH.D, MDIV, LMFT

  • Marriage & Family Therapist
  • Holland, MI
National Provider Identifier
1982956231
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006532 Issued in MI
Practice address
388 Garden Ave Ste 110
Holland, MI 49424-8999
Phone
(616) 222-0631
Fax
(616) 222-0631
NPI assigned
Oct 11, 2012
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006532 MI Primary

Addresses

Primary practice location

388 Garden Ave Ste 110
Holland, MI 49424-8999

Mailing address

388 Garden Ave Ste 110
Holland, MI 49424-8999
Phone (616) 222-0631

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
I20240311001472 MI Practitioner - Marriage and Family Therapist 5496191694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

388 Garden Ave
Suite 110
Holland, MI 49424-8999
Phone (616) 222-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4101006532MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Billing Alliance LLC Current Accepting new patients
Burke Group Counseling & Consulting Professionals LLC Marriage & Family Therapist CurrentSince Jan 13, 2024 Accepting new patients

Locations

756 Fulton St W
Grand Rapids, MI 49504
Phone (616) 222-0631

388 Garden Ave
Holland, MI 49424
Phone (616) 222-0631

388 Garden Ave
Ste 110
Holland, MI 49424
Phone (616) 222-0631

4124 56th St SW
Ste 4
Wyoming, MI 49418
Phone (616) 222-0631

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1982956231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE STE 110",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248999",
            "telephone_number": "616-222-0631",
            "fax_number": "616-222-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 GARDEN AVE STE 110",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248999",
            "telephone_number": "616-222-0631",
            "fax_number": "616-222-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMERLEI",
        "first_name": "DANIEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PH.D, MDIV, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.