MR. WILLIAM EDWARD ROBINSON M.DIV, MA
NPI 1124633185
Counselor - Professional in Grand Rapids, MI

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
3755 REMEMBRANCE RD NW STE 3, GRAND RAPIDS, MI 49534(616) 379-9191 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Jun 20, 2025, Sep 15, 2020 (3 updates tracked since 2020).

About Mr. William Edward Robinson M.div, Ma NPPES

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

MR. WILLIAM EDWARD ROBINSON M.DIV, MA (NPI 1124633185) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6451018634) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124633185
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WILLIAM EDWARD ROBINSONCredential: M.DIV, MA
Location Address3755 REMEMBRANCE RD NW STE 3Grand Rapids, MI 49534-7745
Mailing Address210 Leyden Ave SwGrand Rapids, MI 49504-6129 · (616) 379-9191
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2020
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1124633185 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 · 6451018634
3755 REMEMBRANCE RD NW STE 3, Grand Rapids, MI 49534

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. William Edward Robinson M.div, Ma 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 ID244687531
PECOS Enrollment IDI20231206002499
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 Reassignments

2

Medicare enrollment records show William Robinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
3755 REMEMBRANCE RD NW STE 3
Grand Rapids, MI 49534
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
Counselor
3424 CHICAGO DR STE 205
Hudsonville, MI 49426
  • Reassigned Medicare billing, Michigan enrollment
  • 36 clinicians in this Medicare group

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 6

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

Counselor (Mental Health)
3755 REMEMBRANCE RD NW STE 3
GRAND RAPIDS, MI 49534
Counselor (Professional)
3755 REMEMBRANCE RD NW STE 3
GRAND RAPIDS, MI 49534
Counselor (Professional)
3755 REMEMBRANCE RD NW STE 3
GRAND RAPIDS, MI 49534
Counselor (Professional)
3755 REMEMBRANCE RD NW STE 3
GRAND RAPIDS, MI 49534
Counselor
3755 REMEMBRANCE RD NW STE 3
WALKER, MI 49534
Social Worker (Clinical)
3755 REMEMBRANCE RD NW STE 3
WALKER, MI 49534

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 William Robinson's NPI number?

The NPI number for William Robinson is 1124633185. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is William Robinson located?

William Robinson practices at 3755 Remembrance Rd NW Ste 3, Grand Rapids, MI 49534. The listed phone number is (616) 379-9191.

What is William Robinson's specialty?

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

Is William Robinson enrolled in Medicare?

Yes. William Robinson 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.

Which organizations bill Medicare for William Robinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Robinson reassigns Medicare benefits to 2 organizations: Immaculate Heart Counseling PLLC (Grand Rapids, MI) and Second Story Counseling II LLC (Hudsonville, MI). Each 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 William Robinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Robinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list William Robinson 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 William Robinson was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.