Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Joy-Baker Vander Wal, MA, LPC

Individual provider Professional Counselor · NPI 1396351995

Audrey Joy-Baker Vander Wal, MA, LPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Stange Clinic, PC, a 4-clinician group and works from 3 locations. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone: (616) 816-1758
Fax: (616) 333-7685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714 — (616) 916-3711
  • 4175 Parkway Place Dr Sw Ste 100, Grandville, MI 49418-2382 — (616) 371-5166

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401223152 (MI)

Record details

NPI number1396351995
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stange Clinic, Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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