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SOPHIA DYKSTRA LPC, NCC, CAADC
NPI 1649606716
Counselor in Grand Rapids, MI

Active since September 20, 2013
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Apr 11, 2018 (2 updates tracked since 2018).

About Sophia Dykstra Lpc, Ncc, Caadc NPPES

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

SOPHIA DYKSTRA LPC, NCC, CAADC (NPI 1649606716) is an individual counselor in Grand Rapids, Michigan and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1649606716
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSOPHIA DYKSTRACredential: LPC, NCC, CAADC
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110
Phone(616) 942-2110
Sole ProprietorNo
Enumeration DateSeptember 20, 2013
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1649606716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3300 36TH ST SE, Grand Rapids, MI 49512
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Other Names 1

Former Name (1)Sophia De Land

Other Identifiers 1

Medicaid100163580AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

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 Sophia Dykstra's NPI number?

The NPI number for Sophia Dykstra is 1649606716. It was assigned to this individual provider in the NPPES registry on September 20, 2013. The provider is also known as Sophia De Land.

Where is Sophia Dykstra located?

Sophia Dykstra practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Sophia Dykstra's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Sophia Dykstra accept?

Health plans from Priority Health list Sophia Dykstra 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 Sophia Dykstra was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.