KAYLEEN DEPUE LPC, CCS, CADC, LBSW
NPI 1811263288
Counselor - Professional in Grand Rapids, MI

Active since March 29, 2012PECOS Enrolled
100 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 965-8282 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kayleen Depue Lpc, Ccs, Cadc, Lbsw NPPES

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

KAYLEEN DEPUE LPC, CCS, CADC, LBSW (NPI 1811263288) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014423) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811263288
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAYLEEN DEPUECredential: LPC, CCS, CADC, LBSW
Location Address100 CHERRY ST SEGrand Rapids, MI 49503-4526
Mailing Address3351 Claystone St Se Ste 212Grand Rapids, MI 49546-5781 · (616) 965-8282
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 29, 2012
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1811263288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401014423
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6802085626 (MI)
Also ListedEmergency Medical Technician, IntermediateTaxonomy 146M00000X · License 3202002671 (MI)
100 CHERRY ST SE, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayleen Depue Lpc, Ccs, Cadc, Lbsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406346824
PECOS Enrollment IDI20251105001199
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 Reassignment

Medicare enrollment records show Kayleen Depue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
221 TROWBRIDGE ST NE APT 208
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 11 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.

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.

Social Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Community Health Worker
100 CHERRY ST SE
GRAND RAPIDS, MI 49503
Optometrist
100 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Kayleen Depue's NPI number?

The NPI number for Kayleen Depue is 1811263288. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Kayleen Depue located?

Kayleen Depue practices at 100 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8282.

What is Kayleen Depue's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kayleen Depue enrolled in Medicare?

Yes. Kayleen Depue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayleen Depue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayleen Depue reassigns Medicare benefits to Truism Center (Grand Rapids, MI). The 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 Kayleen Depue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayleen Depue accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Priority Health and UnitedHealthcare list Kayleen Depue 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 Kayleen Depue was last updated on March 22, 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.