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LUCAS KOOLE LPC
NPI 1023473121
Counselor - Professional in Grand Rapids, MI

Active since December 16, 2015Opted out of Medicare · through Dec 31, 2026
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000(616) 455-5960 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2023, Oct 14, 2021, Aug 23, 2018 and 1 more (4 updates tracked since 2015).

About Lucas Koole Lpc NPPES

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

LUCAS KOOLE LPC (NPI 1023473121) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401019158) and active in the NPI registry since December 2015. He has opted out of Medicare through December 31, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023473121
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLUCAS KOOLECredential: LPC
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 455-5960
Phone(616) 455-5000
Fax(616) 455-5960
Sole ProprietorNo
Enumeration DateDecember 16, 2015
Last NPPES UpdateJuly 27, 20234 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1023473121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401019158
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60629508 (WA)
300 68TH ST SE, Grand Rapids, MI 49548
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13083 Washington Ave SW Ste B-4Grandville, MI 49418-1588 · Phone (616) 443-8785
Location 230 Jefferson Ave SEGrand Rapids, MI 49503-4304 · Phone (616) 443-8785

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lucas Koole Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2024 through December 31, 2026.

Opt-Out Effective DateDecember 31, 2024
Opt-Out In Effect ThroughDecember 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 Lucas Koole's NPI number?

The NPI number for Lucas Koole is 1023473121. It was assigned to this individual provider in the NPPES registry on December 16, 2015.

Where is Lucas Koole located?

Lucas Koole practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Lucas Koole's specialty?

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

Is Lucas Koole enrolled in Medicare?

No. Lucas Koole has opted out of Medicare through December 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lucas Koole accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, PacificSource Health Plans and Priority Health and 1 other insurer list Lucas Koole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucas Koole was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.