KAITLIN ELIZABETH VREDEVELD
NPI 1154870780
Counselor - Professional in Grand Rapids, MI

Q: What is Kaitlin Vredeveld's NPI number?

The NPI number for Kaitlin Vredeveld is 1154870780. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Q: What is Kaitlin Vredeveld'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 Kaitlin Vredeveld was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 23, 2016PECOS Enrolled

901 EASTERN AVE NE, GRAND RAPIDS, MI 49503(269) 598-9431 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2019, Sep 23, 2016 (2 updates tracked since 2016).

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About Kaitlin Elizabeth Vredeveld NPPES

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

KAITLIN ELIZABETH VREDEVELD (NPI 1154870780) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401016417) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154870780

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKAITLIN ELIZABETH VREDEVELD

Location Address901 EASTERN AVE NEGrand Rapids, MI 49503-1201

Mailing Address2438 Almont Ave SeGrand Rapids, MI 49507-3941 · (269) 598-9431

Phone(269) 598-9431

Sole ProprietorNo

Enumeration DateSeptember 23, 2016

Last NPPES UpdateMay 16, 20192 updates tracked since enumeration

✔ NPI 1154870780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401016417

Also ListedTechnician, OtherTaxonomy 247200000X

901 EASTERN AVE NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Elizabeth Vredeveld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kaitlin Vredeveld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bethany Christian Services Inc.

0.1 mi

Community/Behavioral Health

901 EASTERN AVE NE
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
6 clinicians in this Medicare group

NPI 1528104643 (616) 224-7617

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 20

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

MRS. DANA KAY ANDERSON MA, LLPC

Counselor (Mental Health)