LORI GAYLE WENGLIKOWSKI LMSW
NPI 1063754794
Counselor - Mental Health in Holland, MI

Q: What is Lori Wenglikowski's NPI number?

The NPI number for Lori Wenglikowski is 1063754794. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Lori Wenglikowski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Wenglikowski was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

412 CENTURY LN, HOLLAND, MI 49423(616) 396-2301(616) 396-8070 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 26, 2018 (2 updates tracked since 2018).

On this page

About Lori Gayle Wenglikowski Lmsw NPPES

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

LORI GAYLE WENGLIKOWSKI LMSW (NPI 1063754794) is an individual mental health provider in Holland, Michigan, licensed in Michigan (6801097918) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063754794

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLORI GAYLE WENGLIKOWSKICredential: LMSW

Location Address412 CENTURY LNHolland, MI 49423-4285

Mailing Address412 Century LnHolland, MI 49423-4285 · (616) 396-2301 · Fax (616) 396-8070

Phone(616) 396-2301

Fax(616) 396-8070

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 20, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1063754794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6801097918

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1-04700 (MI)

412 CENTURY LN, Holland, MI 49423

Open in Google Maps ↗

Secondary Practice Location 1

Location 11939 Division Ave SGrand Rapids, MI 49507-2459 · Phone (616) 247-3815

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Gayle Wenglikowski Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416216783

PECOS Enrollment IDI20180111001956

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.

Leave this field empty

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.

KEVIN FIGURSKI

Prevention Professional