BRYCE WADE (LPC) – Counselor, NPI 1114544913

BRYCE WADE (LPC) is a healthcare provider. based in Kalamazoo, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6401015681 (MI). The NPI Number for BRYCE WADE (LPC) is 1114544913

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BRYCE WADE (LPC)
NPI
1114544913
Phone
(269) 383-2204
Address
519 S PARK ST
Enumeration Date
29 June 2020
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692163337
Graduation Year
2015 (11 years ago)
PAC ID
5294188140
Group Practice PAC ID
9335526979
Professional Enrollment ID
I20240127000574
Address ID
MI490082516KA3317XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for BRYCE WADE (LPC)

  • 519 S PARK ST

    KALAMAZOO, MI 490075117

    Phone: (269) 383-2204

    Type: Mailing

  • 3727 GREENLEAF CIR APT 216

    KALAMAZOO, MI 490082542

    Phone:

    Type: Mailing

  • 3317 GREENLEAF BLVD

    KALAMAZOO, MI 490082516

    Phone: (269) 216-3337

    Type: Location

  • 519 S Park St

    Kalamazoo, MI 490075117

    Phone: (269) 383-2204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240127000574IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335526979View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference BRYCE WADE (LPC)?
For BRYCE WADE (LPC), use NPI 1114544913 as the unique 10-digit identifier.
Would BRYCE WADE (LPC) appear as active to a payer?
You can treat BRYCE WADE (LPC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BRYCE WADE (LPC)?
BRYCE WADE (LPC) is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is BRYCE WADE (LPC) located near Kalamazoo?
BRYCE WADE (LPC) currently maps to Kalamazoo, Michigan in this extract.
When was this NPI issued?
Enumeration for BRYCE WADE (LPC) is noted as June 29, 2020 where the registry provides it.

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