Matt Dehoog
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1033701396
StatusActive
Last updated in NPPESFeb 8, 2021
Details
- NPI
- 1033701396
- Entity type
- Individual (NPI-1)
- Name
- Matt Dehoog
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2021
- Certification date
- Feb 8, 2021
- Last updated
- Feb 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401015057 | MI | Yes |
Practice location
826 Parchment Dr Se Ste 100Grand Rapids, MI 49546-2307
Phone 616-366-4226
Mailing address
4467 Braeburn Dr SeGrand Rapids, MI 49546-2279
Phone 616-581-7687
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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