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HEADWATERS COUNSELING, LLC
NPI 1184172272
Psychologist - Clinical in Zeeland, MI

Active since September 17, 2016
201 W WASHINGTON AVE STE 280, ZEELAND, MI 49464(616) 259-5452(616) 236-0875 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2016, Sep 17, 2016 (2 updates tracked since 2016).

About Headwaters Counseling, Llc NPPES

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

HEADWATERS COUNSELING, LLC (NPI 1184172272) is a healthcare organization registered as a clinical in Zeeland, Michigan and active in the NPI registry since September 2016. The organization lists Keith A Louwerse, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1184172272
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameHEADWATERS COUNSELING, LLC
Location Address201 W WASHINGTON AVE STE 280Zeeland, MI 49464-1074
Mailing Address201 W Washington Ave Ste 280Zeeland, MI 49464-1074 · (616) 259-5452 · Fax (616) 236-0875
Phone(616) 259-5452
Fax(616) 236-0875
Organization SubpartNo
Authorized OfficialKeith A LouwerseClinical Psychologist · (616) 259-5452
Enumeration DateSeptember 17, 2016
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1184172272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301015112
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
201 W WASHINGTON AVE STE 280, Zeeland, MI 49464
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Headwaters Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Headwaters Counseling, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Jacob Brown
Psychologist Billing Independently
NPI 1114770658
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 259-5452
Same address
Kaitlyn Gould, LMSW
Clinical Social Worker
NPI 1477218923
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 259-5452
✔ PECOS✔ Accepts MedicareSame address
Jon Huffer
Mental Health Counselor
NPI 1538658851
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 259-5452
✔ PECOSSame address
Keith Louwerse, PSYD
Clinical Psychologist
NPI 1174750459
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 259-5452
✔ PECOS✔ Accepts MedicareSame address
Angela Moe, MA, LPC
Licensed Professional Counselor
NPI 1245914845
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 259-5452
✔ PECOSSame address
Abigail Spoelma, LMSW
Clinical Social Worker
NPI 1104672823
201 W WASHINGTON AVE STE 280
Zeeland, MI 49464
(616) 350-0977
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Headwaters Counseling, LLC's NPI number?

The NPI number for Headwaters Counseling, LLC is 1184172272. It was assigned to this organization in the NPPES registry on September 17, 2016.

Where is Headwaters Counseling, LLC located?

Headwaters Counseling, LLC is located at 201 W Washington Ave Ste 280, Zeeland, MI 49464. The listed phone number is (616) 259-5452.

What is Headwaters Counseling, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Headwaters Counseling, LLC enrolled in Medicare?

Yes. Headwaters Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Headwaters Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Headwaters Counseling, LLC, in Clinical Psychologist, Clinical Social Worker, Licensed Professional Counselor, Mental Health Counselor and Psychologist Billing Independently. A 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 the clinician's services. Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Headwaters Counseling, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Headwaters Counseling, LLC 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 Headwaters Counseling, LLC was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.