MRS. VELESSAUNIA BRIDGES-WILSON MSC, LPC
NPI 1649501503
Counselor - Mental Health in Grand Rapids, MI

Q: What is Velessaunia Bridges-wilson's NPI number?

The NPI number for Velessaunia Bridges-wilson is 1649501503. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Q: What is Velessaunia Bridges-wilson's specialty?

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

Active since January 15, 2010PECOS Enrolled

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Velessaunia Bridges-wilson Msc, Lpc NPPES

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

MRS. VELESSAUNIA BRIDGES-WILSON MSC, LPC (NPI 1649501503) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401011735) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649501503

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. VELESSAUNIA BRIDGES-WILSONCredential: MSC, LPC

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 15, 2010

Last NPPES UpdateApril 16, 2026

NPPES CertifiedApril 16, 2026

✔ NPI 1649501503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401011735

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · SchoolTaxonomy 101YS0200X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

790 FULLER AVE NE, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Velessaunia Bridges-wilson Msc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951889179

PECOS Enrollment IDI20260129002677

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.

Other Providers at the Same Location NPPES 20

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

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)