Peter Dehaan, MA LLPC, LLMFT in Grand Rapids, MI

Peter Dehaan, MA LLPC, LLMFT is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. His current practice location is 3300 36th St Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 942-2110.

Peter Dehaan is licensed to practice in Michigan (license number 6401016266) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659886232.

Contact Information

	Peter Dehaan, MA LLPC, LLMFT
	3300 36th St Se, Grand Rapids, MI 49512-2810
	(616) 942-2110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Dehaan
Gender	Male
Speciality	Counselor - Professional
Location	3300 36th St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659886232
Provider Enumeration Date: 12/05/2017
Last Update Date: 12/05/2017

Medicare PECOS Information:

PECOS PAC ID: 6103269683
Enrollment ID: I20240212003616

Medical Identifiers

Medical identifiers for Peter Dehaan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659886232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4101006752 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401016266 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Peter Dehaan allows following entities to bill medicare on his behalf.

Entity Name	Centennial Park Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689814469 PECOS PAC ID: 7517340557 Enrollment ID: O20220824000337

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Dehaan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peter Dehaan, MA LLPC, LLMFT 2867 Riverwoods Dr Ne, Rockford, MI 49341-9294 Ph: (616) 822-8592	Peter Dehaan, MA LLPC, LLMFT 3300 36th St Se, Grand Rapids, MI 49512-2810 Ph: (616) 942-2110

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
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Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Megan Elinor Johnson, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909 Fax: 616-336-8830
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284

Peter Dehaan, MA LLPC, LLMFT - Medicare Counselor in Grand Rapids, MI