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KAREN DAWN APPLETON MA, LPC
NPI 1295037745
Counselor - Professional in Grandville, MI

Active since December 02, 2010PECOS Enrolled
4175 PARKWAY PLACE DR SW STE 104, GRANDVILLE, MI 49418(616) 805-3660(616) 805-3631 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Dawn Appleton Ma, Lpc NPPES

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

KAREN DAWN APPLETON MA, LPC (NPI 1295037745) is an individual professional provider in Grandville, Michigan, licensed in Michigan (6401012130) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1295037745
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAREN DAWN APPLETONCredential: MA, LPC
Location Address4175 PARKWAY PLACE DR SW STE 104Grandville, MI 49418-2382
Mailing Address4175 Parkway Place Dr Sw Ste 104Grandville, MI 49418-2382 · (616) 805-3660 · Fax (616) 805-3631
Phone(616) 805-3660
Fax(616) 805-3631
Sole ProprietorNo
Enumeration DateDecember 2, 2010
Last NPPES UpdateJuly 12, 2019
✔ NPI 1295037745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401012130
4175 PARKWAY PLACE DR SW STE 104, Grandville, MI 49418
Open in Google Maps ↗

Secondary Practice Location 1

Location 13300 36th St SEGrand Rapids, MI 49512-2810 · Phone (616) 942-2110

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Dawn Appleton Ma, Lpc 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 Karen Appleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling Center Of West Michigan, LLC
11 mi
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group
NPI 1437610730 (616) 805-3660

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 Karen Appleton's NPI number?

The NPI number for Karen Appleton is 1295037745. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Karen Appleton located?

Karen Appleton practices at 4175 Parkway Place Dr SW Ste 104, Grandville, MI 49418. The listed phone number is (616) 805-3660.

What is Karen Appleton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Karen Appleton enrolled in Medicare?

Yes. Karen Appleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Appleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Appleton reassigns Medicare benefits to Counseling Center Of West Michigan, LLC (Grand Rapids, MI). The 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 Karen Appleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Appleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Karen Appleton 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 Karen Appleton was last updated on July 12, 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.