MRS. KATHLEEN MARIE WELLER LCPC
NPI 1073665311
Counselor - Professional in Grand Rapids, MI

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
1550 E BELTLINE AVE SE STE 255, GRAND RAPIDS, MI 49506(616) 747-0700 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen Marie Weller Lcpc NPPES

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

MRS. KATHLEEN MARIE WELLER LCPC (NPI 1073665311) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401011108) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1073665311
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATHLEEN MARIE WELLERCredential: LCPC
Location Address1550 E BELTLINE AVE SE STE 255Grand Rapids, MI 49506-4362
Mailing Address1550 E Beltline Ave Se Ste 255Grand Rapids, MI 49506-4362 · (616) 747-0700
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1073665311 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 · 6401011108
1550 E BELTLINE AVE SE STE 255, Grand Rapids, MI 49506

Accepted 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

Mrs. Kathleen Marie Weller Lcpc 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 ID1759877608
PECOS Enrollment IDI20251231000527
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.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
1550 E BELTLINE AVE SE STE 255
GRAND RAPIDS, MI 49506
Counselor (Mental Health)
1550 E BELTLINE AVE SE STE 255
GRAND RAPIDS, MI 49506

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 Kathleen Weller's NPI number?

The NPI number for Kathleen Weller is 1073665311. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kathleen Weller located?

Kathleen Weller practices at 1550 E Beltline Ave SE Ste 255, Grand Rapids, MI 49506. The listed phone number is (616) 747-0700.

What is Kathleen Weller's specialty?

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

Is Kathleen Weller enrolled in Medicare?

Yes. Kathleen Weller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Weller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Kathleen Weller 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 Kathleen Weller was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.