CENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC
NPI 1033920509
Counselor - Professional in Kentwood, MI

Active since January 15, 2025
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512(616) 821-7965 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Center For Eating Disorders And Mental Wellnes Llc NPPES

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

CENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC (NPI 1033920509) is a healthcare organization registered as a professional in Kentwood, Michigan and active in the NPI registry since January 2025. The organization lists Cathy Gallegos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033920509
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC
Location Address3230 BROADMOOR AVE SE STE DKentwood, MI 49512-8180
Mailing Address3230 Broadmoor Ave Se Ste DKentwood, MI 49512-8180 · (616) 821-7965
Organization SubpartNo
Authorized OfficialCathy GallegosCredentialing Manager · (517) 483-2461
Enumeration DateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1033920509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3230 BROADMOOR AVE SE STE D, Kentwood, MI 49512

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Eating Disorders And Mental Wellnes Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Center For Eating Disorders And Mental Wellnes LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1114463593
4565 WILSON AVE SW STE 4A
Grandville, MI 49418
(616) 591-9000
✔ PECOS9.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Center For Eating Disorders And Mental Wellnes LLC's NPI number?

The NPI number for Center For Eating Disorders And Mental Wellnes LLC is 1033920509. It was assigned to this organization in the NPPES registry on January 15, 2025.

Where is Center For Eating Disorders And Mental Wellnes LLC located?

Center For Eating Disorders And Mental Wellnes LLC is located at 3230 Broadmoor Ave SE Ste D, Kentwood, MI 49512. The listed phone number is (616) 821-7965.

What is Center For Eating Disorders And Mental Wellnes LLC's specialty?

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

Is Center For Eating Disorders And Mental Wellnes LLC enrolled in Medicare?

Yes. Center For Eating Disorders And Mental Wellnes LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Eating Disorders And Mental Wellnes LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Center For Eating Disorders And Mental Wellnes LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Center For Eating Disorders And Mental Wellnes LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Center For Eating Disorders And Mental Wellnes LLC 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 Center For Eating Disorders And Mental Wellnes LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.