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MRS. ANDREA JOYCE DATTADEEN LLPC
NPI 1902335060
Counselor in Grand Rapids, MI

Active since June 12, 2017PECOS Enrolled
2400 EASTERN AVE SE, GRAND RAPIDS, MI 49507(616) 988-3433(313) 899-7087 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Andrea Joyce Dattadeen Llpc NPPES

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

MRS. ANDREA JOYCE DATTADEEN LLPC (NPI 1902335060) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401015974) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902335060
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. ANDREA JOYCE DATTADEENCredential: LLPC
Location Address2400 EASTERN AVE SEGrand Rapids, MI 49507-3632
Mailing Address194 W 18th StHolland, MI 49423-4123 · (616) 510-8291
Phone(616) 988-3433
Fax(313) 899-7087
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
✔ NPI 1902335060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401015974
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.
2400 EASTERN AVE SE, Grand Rapids, MI 49507
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Other Identifiers 1

Other6401015974MI · State Therapist License

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, Oscar Insurance Company 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 (PECOS)

Mrs. Andrea Joyce Dattadeen Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890200729
PECOS Enrollment IDI20250711000514
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 4

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

PATRICK A NELSON
Counselor (Professional)
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
SEAN A ROBINSON LLPC
Counselor
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
GRAND RAPIDS COUNSELING SERVICES
Counselor (Professional)
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 988-3433
CARLY CHRISTINE BROOKS MA, LLPC
Counselor (Professional)
2400 EASTERN AVE SE
GRAND RAPIDS, MI 49507
Kent County (616) 805-9276

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 Andrea Dattadeen's NPI number?

The NPI number for Andrea Dattadeen is 1902335060. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Andrea Dattadeen located?

Andrea Dattadeen practices at 2400 Eastern Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 988-3433.

What is Andrea Dattadeen's specialty?

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

Is Andrea Dattadeen enrolled in Medicare?

Yes. Andrea Dattadeen is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Dattadeen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Andrea Dattadeen 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 Andrea Dattadeen was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.