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

Lindsey Autumn Distefano, MA

Individual provider Counselor · NPI 1174020291

Lindsey Autumn Distefano, MA is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with River City Psychological Services PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
9
Licensed in
CO, MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455
Phone: (616) 259-7207
Fax: (616) 259-7261
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)

  • 12835 E Arapahoe Rd Ste 400, Centennial, CO 80112-3940 — (303) 954-9809

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401223229 (MI)
Counselor Taxonomy 101Y00000X · Licence LPCC0015902 (CO)
School Counselor Taxonomy 101YS0200X · Licence LPCC0015902 (CO)

Record details

NPI number1174020291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 6, 2018
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice River City Psychological Services Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids