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

Mr. Kenneth Shine Heuvelman, LPC, CAADC, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982123006

Mr. Kenneth Shine Heuvelman, LPC, CAADC, CCS is a Mental Health Counselor in Port Huron, Michigan. Qualified in 2022, 4 years ago. Practices with Professional Counseling Center, PC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Montana.

Years since qualifying
4
Licensed in
MI, MT
In the registry since
2017
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

520 Superior St
Port Huron, MI 48060-3838
Phone: (810) 984-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3479 Minnie Dr, Lakeport, MI 48059-1948 — (810) 637-1123

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401225382 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-03596 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence BBH-LAC-LIC-24075 (MT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6451022467 (MI)

Record details

NPI number1982123006
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CAADC , CCS
Sole proprietorYes
NPI enumeratedSeptember 11, 2017
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Professional Counseling Center,P.C. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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