KEVIN GREG MAYBURY LPC
NPI 1336812718
Counselor - Mental Health in Holland, MI

Active since July 30, 2021PECOS EnrolledAccepts Medicare Assignment
348 S WAVERLY RD STE 103, HOLLAND, MI 49423(616) 218-4769 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Jul 30, 2021 (2 updates tracked since 2021).

About Kevin Greg Maybury Lpc NPPES

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

KEVIN GREG MAYBURY LPC (NPI 1336812718) is an individual mental health provider in Holland, Michigan, licensed in Michigan (6401223768) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Holland, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336812718
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN GREG MAYBURYCredential: LPC
Location Address348 S WAVERLY RD STE 103Holland, MI 49423-8101
Mailing Address790 Southgate StHolland, MI 49423-4557
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 30, 2021
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1336812718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401223768
348 S WAVERLY RD STE 103, Holland, MI 49423

Secondary Practice Location 1

Location 1790 Southgate StHolland, MI 49423-4557 · Phone (616) 218-4769

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Greg Maybury 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 ID1557712924
PECOS Enrollment IDI20240110001628
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 Kevin Maybury reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
2020 RAYBROOK ST SE, STE 305
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
Professional
5020 E BELTLINE AVE NE STE 202
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group

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 2

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

Counselor (Mental Health)
348 S WAVERLY RD STE 103
HOLLAND, MI 49423
Nutritionist
348 S WAVERLY RD STE 103
HOLLAND, MI 49423

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 Kevin Maybury's NPI number?

The NPI number for Kevin Maybury is 1336812718. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Kevin Maybury located?

Kevin Maybury practices at 348 S Waverly Rd Ste 103, Holland, MI 49423. The listed phone number is (616) 218-4769.

What is Kevin Maybury's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Maybury enrolled in Medicare?

Yes. Kevin Maybury 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.

Which organizations bill Medicare for Kevin Maybury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Maybury reassigns Medicare benefits to 2 organizations: Advanced Counseling And Therapy Services (Grand Rapids, MI) and Unity Counseling LLC (Grand Rapids, 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 Kevin Maybury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Maybury 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 Kevin Maybury 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 Kevin Maybury was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.