HOLLY A WALSTRA MA, CCC-SLP
NPI 1679462717
Speech-Language Pathologist in Kentwood, MI

Q: What is Holly Walstra's NPI number?

The NPI number for Holly Walstra is 1679462717. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Holly Walstra's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Walstra was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 02, 2025

2450 44TH ST SE STE 201, KENTWOOD, MI 49512(616) 528-0870 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holly A Walstra Ma, Ccc-slp NPPES

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

HOLLY A WALSTRA MA, CCC-SLP (NPI 1679462717) is an individual speech-language pathologist provider in Kentwood, Michigan, licensed in Michigan (7101008114) and active in the NPI registry since July 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1679462717

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameHOLLY A WALSTRACredential: MA, CCC-SLP

Location Address2450 44TH ST SE STE 201Kentwood, MI 49512-9081

Mailing Address2450 44th St Se Ste 201Kentwood, MI 49512-9081 · (616) 528-0870

Phone(616) 528-0870

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 2, 2025

NPPES CertifiedJuly 2, 2025

✔ NPI 1679462717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101008114

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2450 44TH ST SE STE 201, Kentwood, MI 49512

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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly A Walstra Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961901418

PECOS Enrollment IDI20250820001751

Other Providers at the Same Location NPPES 13

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

CASSIDY HAASE CCC-SLP

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

LAUREN PETRUSKA

Speech-Language Pathologist

2450 44TH ST SE STE 201
GRAND RAPIDS, MI 49512

Kent County (616) 325-4839

DR. BETH MACAULEY PH.D., CCC-SLP, HPCS

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

HANNAH BLACKWELL SLP

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

DUNCAN LAKE SPEECH THERAPY, LLC

Counselor (Mental Health)

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

MADISSEN ANNE VACHA M.S., CCC-SLP

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

DUNCAN LAKE SPEECH THERAPY, LLC

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

ALYSSA MISIAK SLP

Speech-Language Pathologist

2450 44TH ST SE STE 201
KENTWOOD, MI 49512

Kent County (616) 528-0870

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 Holly Walstra's NPI number?

The NPI number for Holly Walstra is 1679462717. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Holly Walstra located?

Holly Walstra practices at 2450 44th St SE Ste 201, Kentwood, MI 49512. The listed phone number is (616) 528-0870.

What is Holly Walstra's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Holly Walstra enrolled in Medicare?

Yes. Holly Walstra is registered in the Medicare PECOS enrollment system.

What insurance does Holly Walstra accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holly Walstra 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 Holly Walstra was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.