KAYLA DEWEERD LPC
NPI 1235523747
Counselor in Grand Rapids, MI

Q: What is Kayla Deweerd's NPI number?

The NPI number for Kayla Deweerd is 1235523747. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Q: What is Kayla Deweerd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kayla Deweerd was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 23, 2015PECOS EnrolledAccepts Medicare Assignment

1131 IONIA AVE NW, GRAND RAPIDS, MI 49503(616) 259-7900(616) 259-7909 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kayla Deweerd Lpc NPPES

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

KAYLA DEWEERD LPC (NPI 1235523747) is an individual counselor in Grand Rapids, Michigan and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235523747

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKAYLA DEWEERDCredential: LPC

Location Address1131 IONIA AVE NWGrand Rapids, MI 49503-1020

Mailing Address1131 Ionia Ave NwGrand Rapids, MI 49503-1020 · (616) 259-7900 · Fax (616) 259-7909

Phone(616) 259-7900

Fax(616) 259-7909

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 23, 2015

Last NPPES UpdateJune 28, 2024

NPPES CertifiedJune 28, 2024

✔ NPI 1235523747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1131 IONIA AVE NW, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayla Deweerd Lpc 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 ID1254784150

PECOS Enrollment IDI20240126002845

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.

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.

PAUL DIELEMAN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)