KATHRYN S KETELAAR LPC
NPI 1316499338
Counselor - Professional in Grand Rapids, MI
About Kathryn S Ketelaar Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN S KETELAAR LPC (NPI 1316499338) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401017474) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grant, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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
Kathryn S Ketelaar 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.
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.
GRAND RAPIDS, MI 49505
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 Kathryn Ketelaar's NPI number?
The NPI number for Kathryn Ketelaar is 1316499338. It was assigned to this individual provider in the NPPES registry on October 25, 2016. The provider is also known as Kathryn Susanne Goerner.
Where is Kathryn Ketelaar located?
Kathryn Ketelaar practices at 1870 Leonard St NE, Grand Rapids, MI 49505. The listed phone number is (616) 956-9619.
What is Kathryn Ketelaar's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathryn Ketelaar enrolled in Medicare?
Yes. Kathryn Ketelaar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kathryn Ketelaar 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 Kathryn Ketelaar 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 Kathryn Ketelaar was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.
# Kathryn S Ketelaar, LPC · NPI 1316499338
Professional provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1316499338 (Entity type: Individual)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401017474 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1870 LEONARD ST NE, Grand Rapids, MI 49505-5650
- **Phone:** (616) 956-9619
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316499338) · Data from the CMS NPPES public registry.