BRIAN JAMES MULDER LPC
NPI 1497536528
Counselor - Professional in Grand Rapids, MI

Active since October 13, 2023Opted out of Medicare · through Dec 18, 2026
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 303-1313 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian James Mulder Lpc NPPES

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

BRIAN JAMES MULDER LPC (NPI 1497536528) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401224160) and active in the NPI registry since October 2023. He has opted out of Medicare through December 18, 2026 and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1497536528
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRIAN JAMES MULDERCredential: LPC
Location Address30 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address1511 Colorado Ave SeGrand Rapids, MI 49507-2214 · (616) 610-0286
Sole ProprietorYes
Enumeration DateOctober 13, 2023
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1497536528 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 · 6401224160
30 JEFFERSON AVE SE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 11511 Colorado Ave SEGrand Rapids, MI 49507-2214 · Phone (616) 610-0286

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Brian James Mulder Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Counselor (Professional)
30 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

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 Brian Mulder's NPI number?

The NPI number for Brian Mulder is 1497536528. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Brian Mulder located?

Brian Mulder practices at 30 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 303-1313.

What is Brian Mulder's specialty?

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

Is Brian Mulder enrolled in Medicare?

No. Brian Mulder has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Brian Mulder accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Mulder 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 Brian Mulder was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.