1. Home
  2. Directory
  3. Michigan
  4. Holland
  5. Counselor
  6. NPI Profile

MRS. ELINEKE VANDERHAM MA, LLC
NPI 1053150532
Counselor - Mental Health in Holland, MI

Active since May 23, 2024PECOS Enrolled
170 COLLEGE AVE STE 310, HOLLAND, MI 49423(616) 426-9034 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Elineke Vanderham Ma, Llc NPPES

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

MRS. ELINEKE VANDERHAM MA, LLC (NPI 1053150532) is an individual mental health provider in Holland, Michigan, licensed in Michigan (6451023592) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053150532
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELINEKE VANDERHAMCredential: MA, LLC
Location Address170 COLLEGE AVE STE 310Holland, MI 49423-2982
Mailing Address57 Wind Stream CtHolland, MI 49424-7632 · (231) 942-8918
Phone(616) 426-9034
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 23, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1053150532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451023592
170 COLLEGE AVE STE 310, Holland, MI 49423
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elineke Vanderham Ma, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961961362
PECOS Enrollment IDI20260826003246
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elineke Vanderham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Second Story Counseling II LLC
13 mi
Counselor
3424 CHICAGO DR STE 205
Hudsonville, MI 49426
  • Reassigned Medicare billing, Michigan enrollment
  • 36 clinicians in this Medicare group
NPI 1013460716 (616) 426-9034

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

Other Providers at the Same Location NPPES 11

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

NATALYA BUSSCHER
Counselor (Professional)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
LAUREL RAE BACKING LLPC
Counselor
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
GRACE THOMPSON MDIV, LLMSW
Social Worker (Clinical)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
RACHEL LYNN KYLE MA, LLPC
Counselor (Professional)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
SARAH BETH EGBERT MA, LLC, LSC
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
SELENA LYNN METCALF-WRIGHT MA
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
BRYAN MICHAEL JACKSON
Social Worker (Clinical)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034
TAYLOR LAHAIE LLC
Counselor (Mental Health)
170 COLLEGE AVE STE 310
HOLLAND, MI 49423
Allegan County (616) 426-9034

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 Elineke Vanderham's NPI number?

The NPI number for Elineke Vanderham is 1053150532. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Elineke Vanderham located?

Elineke Vanderham practices at 170 College Ave Ste 310, Holland, MI 49423. The listed phone number is (616) 426-9034.

What is Elineke Vanderham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elineke Vanderham enrolled in Medicare?

Yes. Elineke Vanderham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elineke Vanderham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elineke Vanderham reassigns Medicare benefits to Second Story Counseling II LLC (Hudsonville, MI). The 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 Elineke Vanderham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elineke Vanderham was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.