MR. DAVID ALAN VANDERWAL MA/LPC
NPI 1104004712
Counselor - Professional in Kentwood, MI

Q: What is David Vanderwal's NPI number?

The NPI number for David Vanderwal is 1104004712. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Q: What is David Vanderwal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Vanderwal was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 06, 2008

6670 KALAMAZOO AVE SE, SUITE D, KENTWOOD, MI 49508(616) 565-4159(616) 565-4161 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. David Alan Vanderwal Ma/lpc NPPES

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

MR. DAVID ALAN VANDERWAL MA/LPC (NPI 1104004712) is an individual professional provider in Kentwood, Michigan, licensed in Michigan (6401005560) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1104004712

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. DAVID ALAN VANDERWALCredential: MA/LPC

Location Address6670 KALAMAZOO AVE SE, SUITE DKentwood, MI 49508-7856

Mailing Address207 Sunnyview Dr SwGrandville, MI 49418-2129 · (616) 457-2277

Phone(616) 565-4159

Fax(616) 565-4161

Sole ProprietorYes

Enumeration DateFebruary 6, 2008

✔ NPI 1104004712 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 · 6401005560

6670 KALAMAZOO AVE SE, Kentwood, MI 49508

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Other Providers at the Same Location NPPES

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

PHLEBOTOMY PARTNERS OF WEST MICHIGAN

Technician, Pathology (Phlebotomy)

6670 KALAMAZOO AVE SE, STE D, UNIT 1110
KENTWOOD, MI 49508

Kent County (616) 800-7938

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 David Vanderwal's NPI number?

The NPI number for David Vanderwal is 1104004712. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is David Vanderwal located?

David Vanderwal practices at 6670 Kalamazoo Ave SE Suite D, Kentwood, MI 49508. The listed phone number is (616) 565-4159.

What is David Vanderwal's specialty?

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

When was this NPI record last updated?

The NPPES record for David Vanderwal was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.