Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Mind Grand Rapids LLC

Organization Professional Counselor · NPI 1578384558

State of Mind Grand Rapids LLC is a Professional Counselor in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3450 Alpine Ave NW Ste 207
Grand Rapids, MI 49544-1666
Phone: (616) 215-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1578384558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katelyn Wysocki — Owner, Counselor · (616) 215-0588
NPI enumeratedOctober 22, 2024
Last updated in NPPESMay 12, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 141541, Grand Rapids, MI 49514

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