WENDY LOU GORNICK-MAYCROFT MA, LPC
NPI 1740351014
Counselor in Grand Rapids, MI

Q: What is Wendy Gornick-maycroft's NPI number?

The NPI number for Wendy Gornick-maycroft is 1740351014. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Wendy Gornick-maycroft's specialty?

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

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment

640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544(800) 693-1916 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2022, Nov 2, 2018, Sep 19, 2018 (3 updates tracked since 2018).

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About Wendy Lou Gornick-maycroft Ma, Lpc NPPES

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

WENDY LOU GORNICK-MAYCROFT MA, LPC (NPI 1740351014) is an individual counselor in Grand Rapids, Michigan, licensed in (6401012338) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1740351014

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameWENDY LOU GORNICK-MAYCROFTCredential: MA, LPC

Location Address640 3 MILE RD NW STE GGrand Rapids, MI 49544-8209

Mailing Address221 Riverfront St Apt 5Spring Lake, MI 49456-2081 · (989) 802-2263

Phone(800) 693-1916

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 10, 2006

Last NPPES UpdateAugust 3, 20223 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1740351014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed · 6401012338

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 · ProfessionalTaxonomy 101YP2500X · License 6401012338 (MI)

640 3 MILE RD NW STE G, Grand Rapids, MI 49544

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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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wendy Lou Gornick-maycroft Ma, Lpc 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 ID6103367149

PECOS Enrollment IDI20240918001967

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 14

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

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