THERESA RENEE BUTLER LMSW
NPI 1598117111
Social Worker - Clinical in Saugatuck, MI

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
3489 64TH ST, SAUGATUCK, MI 49453(269) 903-8025 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Renee Butler Lmsw NPPES

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

THERESA RENEE BUTLER LMSW (NPI 1598117111) is an individual clinical provider in Saugatuck, Michigan, licensed in Michigan (6801091370) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1598117111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA RENEE BUTLERCredential: LMSW
Location Address3489 64TH STSaugatuck, MI 49453-9706
Mailing Address3489 64th StSaugatuck, MI 49453-9706 · (269) 903-8025
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 7, 2016
Last NPPES UpdateApril 4, 2018
✔ NPI 1598117111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801091370✔ Licensed in MI · 68010913709
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.
3489 64TH ST, Saugatuck, MI 49453

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

Theresa Renee Butler Lmsw 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 ID7810225554
PECOS Enrollment IDI20190820001450
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 Theresa Butler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
348 S WAVERLY RD STE 127
Holland, MI 49423
  • Reassigned Medicare billing, Michigan enrollment
Clinical
340 104TH AVE
Holland, MI 49423
  • Reassigned Medicare billing, Michigan enrollment
  • 32 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49453 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 Theresa Butler's NPI number?

The NPI number for Theresa Butler is 1598117111. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Theresa Butler located?

Theresa Butler practices at 3489 64th St, Saugatuck, MI 49453. The listed phone number is (269) 903-8025.

What is Theresa Butler's specialty?

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

Is Theresa Butler enrolled in Medicare?

Yes. Theresa Butler 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 Theresa Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Butler reassigns Medicare benefits to 2 organizations: Turtle Path Counseling PLLC (Holland, MI) and Hope & Wholeness Psychology Center, LLC (Holland, 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 Theresa Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Butler 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 Theresa Butler 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 Theresa Butler was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.