GRAND RAPIDS COUNSELING AND CONSULTATION LLC
NPI 1205544087
Counselor in Byron Center, MI

Q: What is Grand Rapids Counseling And Consultation LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since November 09, 2022

1239 76TH ST SW STE H4, BYRON CENTER, MI 49315(616) 258-6270 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Jun 25, 2025, Jul 20, 2023 and 3 more (6 updates tracked since 2022).

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About Grand Rapids Counseling And Consultation Llc NPPES

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

GRAND RAPIDS COUNSELING AND CONSULTATION LLC (NPI 1205544087) is a healthcare organization registered as a counselor in Byron Center, Michigan and active in the NPI registry since November 2022. The organization maintains 3 additional practice locations and lists Kelly Ibarra, Owner, as its authorized official.

NPPES Registry Identity

NPI1205544087

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameGRAND RAPIDS COUNSELING AND CONSULTATION LLC

Location Address1239 76TH ST SW STE H4Byron Center, MI 49315-7921

Mailing AddressPo Box 10Mason, MI 48854-0010

Phone(616) 258-6270

Organization SubpartNo

Authorized OfficialKelly IbarraOwner · (616) 258-6270

Enumeration DateNovember 9, 2022

Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1205544087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · SchoolTaxonomy 101YS0200X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

1239 76TH ST SW STE H4, Byron Center, MI 49315

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Secondary Practice Locations 3

Location 17624 Clyde Park Ave SWByron Center, MI 49315-7502 · Phone (616) 258-6270

Location 2769 Sun Stone Dr SWByron Center, MI 49315-8396 · Phone (616) 258-6270

Location 323706 Vassar AveHazel Park, MI 48030-2712 · Phone (616) 258-6270

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Grand Rapids Counseling And Consultation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grand Rapids Counseling And Consultation LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Ibarra, LPC

Mental Health Counselor

NPI 1063075562

1239 76TH ST SW STE H4
Byron Center, MI 49315

(616) 258-6270

✔ PECOS✔ Accepts MedicareSame address

Fallon Lee, LMSW

Clinical Social Worker

NPI 1669056321

6505 CHERRY MEADOW DR SE
Caledonia, MI 49316

(616) 891-8770

✔ PECOS6.7 mi

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 Grand Rapids Counseling And Consultation LLC's NPI number?

The NPI number for Grand Rapids Counseling And Consultation LLC is 1205544087. It was assigned to this organization in the NPPES registry on November 9, 2022.

Where is Grand Rapids Counseling And Consultation LLC located?

Grand Rapids Counseling And Consultation LLC is located at 1239 76th St SW Ste H4, Byron Center, MI 49315. The listed phone number is (616) 258-6270.

What is Grand Rapids Counseling And Consultation LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Grand Rapids Counseling And Consultation LLC enrolled in Medicare?

Yes. Grand Rapids Counseling And Consultation LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Rapids Counseling And Consultation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grand Rapids Counseling And Consultation LLC, in Clinical Social Worker and Mental Health Counselor. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grand Rapids Counseling And Consultation LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Rapids Counseling And Consultation 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 Grand Rapids Counseling And Consultation LLC was last updated on December 16, 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.