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BETHANY GRAVERT MA, LPC, SCL
NPI 1295465607
Counselor - Professional in Grand Rapids, MI

Active since June 16, 2022PECOS Enrolled
2050 BRETON RD SE STE 104, GRAND RAPIDS, MI 49546(616) 202-6521 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Bethany Gravert Ma, Lpc, Scl NPPES

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

BETHANY GRAVERT MA, LPC, SCL (NPI 1295465607) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401222654) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295465607
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY GRAVERTCredential: MA, LPC, SCL
Location Address2050 BRETON RD SE STE 104Grand Rapids, MI 49546-5547
Mailing Address2050 Breton Rd Se Ste 104Grand Rapids, MI 49546-5547 · (815) 590-0661
Phone(616) 202-6521
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1295465607 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 · 6401222654
2050 BRETON RD SE STE 104, Grand Rapids, MI 49546
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13800 Lake Michigan Dr NW Ste 103Grand Rapids, MI 49534-4583 · Phone (616) 805-3660
Location 21460 Walton Blvd Ste 60Rochester Hills, MI 48309-1729 · Phone (248) 608-4514

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, Oscar Insurance Company 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)

Bethany Gravert Ma, Lpc, Scl 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 Reassignments

2

Medicare enrollment records show Bethany Gravert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duncan Lake Speech Therapy, LLC
3.0 mi
Speech-Language Pathologist
2450 44TH ST SE STE 201
Kentwood, MI 49512
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1376195925 (616) 528-0870
Tree Of Life Counseling Services LLC
126 mi
Professional
1460 WALTON BLVD STE 60
Rochester Hills, MI 48309
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group
NPI 1023537495 (248) 608-4514

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEWED COUNSELING SERVICES
Counselor (Mental Health)
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 219-8539
SQUAD COUNSELING LLC
Counselor
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 202-6521
EXPRESSIVE EXPLORATIONS
Counselor (Mental Health)
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 259-5136
ANNALISE HAMMERLUND LPC
Counselor (Professional)
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 259-5136
WESLEY MORGAN LPC
Counselor
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 219-8539
LIBERATED MINDZ THERAPEUTIC SERVICES PLLC
Social Worker (Clinical)
2050 BRETON RD SE STE 104
GRAND RAPIDS, MI 49546
Kent County (616) 426-9917

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 Bethany Gravert's NPI number?

The NPI number for Bethany Gravert is 1295465607. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Bethany Gravert located?

Bethany Gravert practices at 2050 Breton Rd SE Ste 104, Grand Rapids, MI 49546. The listed phone number is (616) 202-6521.

What is Bethany Gravert's specialty?

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

Is Bethany Gravert enrolled in Medicare?

Yes. Bethany Gravert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bethany Gravert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Gravert reassigns Medicare benefits to 2 organizations: Duncan Lake Speech Therapy, LLC (Kentwood, MI) and Tree Of Life Counseling Services LLC (Rochester Hills, MI). Each 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 Bethany Gravert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Gravert accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Bethany Gravert 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 Bethany Gravert was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.