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KELSEA DANIELLE PECK LMSW
NPI 1437704327
Social Worker - Clinical in Grand Rapids, MI

Active since August 07, 2019PECOS Enrolled
1150 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571(616) 235-0979 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Aug 7, 2019 (2 updates tracked since 2019).

About Kelsea Danielle Peck Lmsw NPPES

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

KELSEA DANIELLE PECK LMSW (NPI 1437704327) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801112284) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1437704327
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELSEA DANIELLE PECKCredential: LMSW
Location Address1150 BALL AVE NEGrand Rapids, MI 49505-5901
Mailing Address3530 Steffisburg DrNashville, TN 37211-8358 · (480) 529-6034
Phone(616) 456-6571
Fax(616) 235-0979
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1437704327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801112284
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
1150 BALL AVE NE, Grand Rapids, MI 49505
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Other Names 1

Former Name (1)Kelsea Danielle Buchanan

Secondary Practice Location 1

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

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)

Kelsea Danielle Peck Lmsw 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 Kelsea Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kent County Cmh Authority
0.7 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1194617811 (616) 336-3909

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelsea Peck's NPI number?

The NPI number for Kelsea Peck is 1437704327. It was assigned to this individual provider in the NPPES registry on August 7, 2019. The provider is also known as Kelsea Danielle Buchanan.

Where is Kelsea Peck located?

Kelsea Peck practices at 1150 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Kelsea Peck's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelsea Peck enrolled in Medicare?

Yes. Kelsea Peck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsea Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsea Peck reassigns Medicare benefits to Kent County Cmh Authority (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 Kelsea Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsea Peck accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kelsea Peck 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 Kelsea Peck was last updated on March 18, 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.