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MELISSA WICHTERMAN
NPI 1467890152
Counselor - Mental Health in Grand Rapids, MI

Active since June 05, 2013PECOS Enrolled
2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512(616) 949-9550(616) 949-9551 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melissa Wichterman NPPES

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

MELISSA WICHTERMAN (NPI 1467890152) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401012129) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467890152
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA WICHTERMAN
Location Address2828 KRAFT AVE SE STE 186Grand Rapids, MI 49512-2076
Mailing Address2828 Kraft Ave Se Ste 186Grand Rapids, MI 49512-2076 · (616) 949-9550 · Fax (269) 979-7766
Phone(616) 949-9550
Fax(616) 949-9551
Sole ProprietorNo
Enumeration DateJune 5, 2013
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1467890152 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 · 6401012129
2828 KRAFT AVE SE STE 186, Grand Rapids, MI 49512
Open in Google Maps ↗

Other Identifiers 1

Other6401012129MI · License #

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, McLaren Health Plan Community 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)

Melissa Wichterman 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 Melissa Wichterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centennial Park Counseling, PLLC
Same address
Social Worker
2828 KRAFT AVE SE, SUITE 186
Grand Rapids, MI 49512
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1689814469 (616) 949-9550

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 14

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

RACHAEL MOUW LLMSW
Social Worker (Clinical)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
REBEKAH S HOBSON MA, LPC
Counselor (Mental Health)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
THOMAS JACOB PEEK LPC
Counselor (Professional)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
REBECCA HOLBROOK
Counselor
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
DEBORAH M CRATER MA, LLPC
Counselor
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
DR. KAREN HADLEY LEAVITT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 303-3562
JOSHUA THOMAS HARMON LLC
Counselor (Mental Health)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550
SCOTT H GLASS
Psychologist (Clinical)
2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI 49512
Kent County (616) 949-9550

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 Melissa Wichterman's NPI number?

The NPI number for Melissa Wichterman is 1467890152. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Melissa Wichterman located?

Melissa Wichterman practices at 2828 Kraft Ave SE Ste 186, Grand Rapids, MI 49512. The listed phone number is (616) 949-9550.

What is Melissa Wichterman's specialty?

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

Is Melissa Wichterman enrolled in Medicare?

Yes. Melissa Wichterman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Wichterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Wichterman reassigns Medicare benefits to Centennial Park Counseling, PLLC (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 Melissa Wichterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Wichterman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Melissa Wichterman 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 Melissa Wichterman was last updated on December 18, 2023. 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.