SACRED SPACE COUNSELING – Professional Counselor, NPI 1487902003

SACRED SPACE COUNSELING is a healthcare provider. based in Spring lake, Michigan. specializing in Professional Counselor. The organization holds a License No. 6401009234 (MI). The NPI Number for SACRED SPACE COUNSELING is 1487902003

Main info

Organization
Name
SACRED SPACE COUNSELING
NPI
1487902003
Phone
(616) 405-4188
Address
17214 VAN WAGONER RD
Authorized Official
ROBERT DECKERT PRESIDENT LPC
Enumeration Date
29 August 2012
Last Update Date
12 May 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SACRED SPACE COUNSELING

  • 17214 VAN WAGONER RD

    SPRING LAKE, MI 494569702

    Phone: (616) 405-4188

    Fax: (616) 935-1288

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49456)

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Reviews

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Frequently asked questions

How do payers reference SACRED SPACE COUNSELING?
For SACRED SPACE COUNSELING, use NPI 1487902003 as the unique 10-digit identifier.
Would SACRED SPACE COUNSELING appear as active to a payer?
You can treat SACRED SPACE COUNSELING as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SACRED SPACE COUNSELING?
SACRED SPACE COUNSELING's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with SACRED SPACE COUNSELING?
Directory geography for SACRED SPACE COUNSELING centers on Spring Lake, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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