Paul Timothy Samuelson, LPC
Professional Counselor · Grand Rapids, MI
Paul Timothy Samuelson, LPC is a professional counselor with a practice address in Grand Rapids, Michigan, and NPI 1134442502, issued on Mar 12, 2010. Check the license (Michigan 6401009994, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Paul Timothy Samuelson
- Credential
- LPC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- 6401009994 MI
Self-reported in NPPES; status is on the state search - Practice location
- 300 68TH St SE, Grand Rapids, MI 49548
- Phone
- (616) 258-7467
- Enumerated
- Mar 12, 2010
- Record last updated
- Jan 5, 2024
- Medicare enrollment
- Enrolled (PECOS I20240117001357); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 4,958 in Michigan → Look up another NPI →
Also registered at 300 68TH St SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Paul Timothy Samuelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6401009994Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Pine Rest Christian Mental Health ServicesGrand Rapids, MI · Psychiatric
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Paul Timothy Samuelson among 4,958 professional counselor records in Michigan
Paul Timothy Samuelson, LPC is one of 4,958 professional counselor records with a practice address in Michigan. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 18% of them.
- NPI issued2010 · 18% of these records are older, 78% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2005 · median 2013 among the 1,050 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
439 professional counselor records list a practice address in Grand Rapids
They are 439 of the 18,005 NPPES records with a practice address in Grand Rapids, and 4,958 professional counselor records in Michigan.
All 4,958 in Michigan → Every provider in Grand Rapids → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Christina Anthony, LPCGrand Rapids, MI 495481043683147
- Anita Banks, LPCGrand Rapids, MI 495481336548122
- Alicia Fahr, PH.D. LPCGrand Rapids, MI 495481720242399
- Belen Kintner, M.A.Grand Rapids, MI 495481346435286
- Lucas Koole, LPCGrand Rapids, MI 495481023473121
- Rachel Mantle-Douglas, LPCGrand Rapids, MI 495481477827152
- Ann Modzeleski, LPCGrand Rapids, MI 495481457504847
- Timothy Smith, LLPCWyoming, MI 495481962813238
Common questions
What is Paul Timothy Samuelson, LPC's NPI number?
Paul Timothy Samuelson, LPC's National Provider Identifier (NPI) is 1134442502, issued on Mar 12, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Paul Timothy Samuelson, LPC located?
The NPPES record lists a practice address at 300 68TH St SE, Grand Rapids, MI, 49548. Phone: (616) 258-7467. Providers update this record themselves, so call before visiting.
How can I verify Paul Timothy Samuelson, LPC's license?
NPPES lists Michigan license number 6401009994, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.