STANGE CLINIC, PC
NPI 1205564531
Psychologist - Clinical in Grand Rapids, MI
About Stange Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANGE CLINIC, PC (NPI 1205564531), doing business as Ellie Mental Health, is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Grandville and lists Jennifer Lynn Bedford, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Stange Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Stange Clinic, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Stange Clinic, PC's NPI number?
The NPI number for Stange Clinic, PC is 1205564531. It was assigned to this organization in the NPPES registry on August 14, 2022. The provider is doing business as Ellie Mental Health.
Where is Stange Clinic, PC located?
Stange Clinic, PC is located at 2305 E Paris Ave SE Ste 203, Grand Rapids, MI 49546. The listed phone number is (616) 816-1758.
What is Stange Clinic, PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stange Clinic, PC enrolled in Medicare?
Yes. Stange Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stange Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Stange Clinic, PC. 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. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stange Clinic, PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stange Clinic, PC 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 Stange Clinic, PC was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stange Clinic, Pc · NPI 1205564531
Clinical organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since August 14, 2022.
## Identity
- **NPI:** 1205564531 (Entity type: Organization)
- **Enumerated:** August 14, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Also known as:** Ellie Mental Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Bedford, DIRECTOR
## Practice location
- **Address:** 2305 E PARIS AVE SE STE 203, Grand Rapids, MI 49546-2426
- **Phone:** (616) 816-1758 · **Fax:** (616) 333-7685
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Mental Health Counselor (2), Clinical Psychologist (1); 3 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205564531) · Data from the CMS NPPES public registry.