MR. KENNETH SHINE HEUVELMAN LPC, CAADC, CCS
NPI 1982123006
Counselor - Mental Health in Port Huron, MI

Active since September 11, 2017PECOS EnrolledAccepts Medicare Assignment
520 SUPERIOR ST, PORT HURON, MI 48060(810) 984-4202 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jun 9, 2025, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Mr. Kenneth Shine Heuvelman Lpc, Caadc, Ccs NPPES

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

MR. KENNETH SHINE HEUVELMAN LPC, CAADC, CCS (NPI 1982123006) is an individual mental health provider in Port Huron, Michigan, licensed in Michigan (6401225382) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeport, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982123006
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH SHINE HEUVELMANCredential: LPC, CAADC, CCS
Location Address520 SUPERIOR STPort Huron, MI 48060-3838
Mailing Address3479 Minnie DrLakeport, MI 48059-1948 · (810) 637-1123
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 11, 2017
Last NPPES UpdateAugust 4, 20256 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1982123006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MI · 6401225382 Licensed in MI · 6451022467
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-03596 (MI), BBH-LAC-LIC-24075 (MT)
520 SUPERIOR ST, Port Huron, MI 48060

Secondary Practice Location 1

Location 13479 Minnie DrLakeport, MI 48059-1948 · Phone (810) 637-1123

Accepted 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

Mr. Kenneth Shine Heuvelman Lpc, Caadc, Ccs 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 ID2163922154
PECOS Enrollment IDI20250825000788
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 20

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

Social Worker (Clinical)
520 SUPERIOR ST
PORT HURON, MI 48060
Counselor (Professional)
520 SUPERIOR ST
PORT HURON, MI 48060
Counselor (Mental Health)
520 SUPERIOR ST
PORT HURON, MI 48060
Social Worker (Clinical)
520 SUPERIOR ST
PORT HURON, MI 48060
Social Worker
520 SUPERIOR ST
PORT HURON, MI 48060
Social Worker
520 SUPERIOR ST
PORT HURON, MI 48060
Counselor
520 SUPERIOR ST
PORT HURON, MI 48060
Social Worker
520 SUPERIOR ST
PORT HURON, MI 48060

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 Kenneth Heuvelman's NPI number?

The NPI number for Kenneth Heuvelman is 1982123006. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Kenneth Heuvelman located?

Kenneth Heuvelman practices at 520 Superior St, Port Huron, MI 48060. The listed phone number is (810) 984-4202.

What is Kenneth Heuvelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kenneth Heuvelman enrolled in Medicare?

Yes. Kenneth Heuvelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Heuvelman accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kenneth Heuvelman 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 Kenneth Heuvelman was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.