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

Kathryn S Ketelaar, LPC

Individual provider Professional Counselor · NPI 1316499338

Kathryn S Ketelaar, LPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1870 Leonard St NE
Grand Rapids, MI 49505-5650
Phone: (616) 956-9619
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 E 120th St, Grant, MI 49327-8502 — (231) 834-1350

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401017474 (MI)

Record details

NPI number1316499338
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids