ARDEAN BETH BROCK-VANDERWALL M.DIV., M.A.
NPI 1013147495
Counselor - Professional in Grand Rapids, MI

Q: What is Ardean Brock-vanderwall's NPI number?

The NPI number for Ardean Brock-vanderwall is 1013147495. It was assigned to this individual provider in the NPPES registry on July 20, 2009. The provider is also known as Ardean Beth Brock-Vanderwall M.Div., M.A..

Q: What is Ardean Brock-vanderwall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since July 20, 2009

2828 KRAFT AVE., GRAND RAPIDS, MI 49512(616) 949-9550(616) 949-9551 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ardean Beth Brock-vanderwall M.div., M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARDEAN BETH BROCK-VANDERWALL M.DIV., M.A. (NPI 1013147495) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401011131) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1013147495

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameARDEAN BETH BROCK-VANDERWALLCredential: M.DIV., M.A.

Location Address2828 KRAFT AVE.Grand Rapids, MI 49512

Mailing Address3208 Woodberry DriveGrand Rapids, MI 49512 · (616) 893-6420 · Fax (616) 891-9676

Phone(616) 949-9550

Fax(616) 949-9551

Sole ProprietorNo

Enumeration DateJuly 20, 2009

Last NPPES UpdateOctober 26, 2015

✔ NPI 1013147495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401011131

2828 KRAFT AVE., Grand Rapids, MI 49512

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Other Names 1

Former Name (1)Ardean Beth Brock-vanderwall M.div., M.a.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ardean Brock-vanderwall's NPI number?

The NPI number for Ardean Brock-vanderwall is 1013147495. It was assigned to this individual provider in the NPPES registry on July 20, 2009. The provider is also known as Ardean Beth Brock-Vanderwall M.Div., M.A..

Where is Ardean Brock-vanderwall located?

Ardean Brock-vanderwall practices at 2828 Kraft Ave., Grand Rapids, MI 49512. The listed phone number is (616) 949-9550.

What is Ardean Brock-vanderwall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ardean Brock-vanderwall was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.