Jehricole Olenzuk

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Practice address

829 Forest Hill Ave SE
Grand Rapids, MI 49546-2325

Phone

(616) 949-2410

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1013379577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FOREST HILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FOREST HILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462325",
            "telephone_number": "616-949-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENZUK",
        "first_name": "JEHRICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin S Oldenberg, MD
• Lorrie Jean Oldham, DO
• Paul G Olejniczak, MD
• Emily Olender
• Emily K Olenzek, MD
• McKenna Marquis Olenzuk
• Todd E Oleson, LMSW
• Patty Oleszkiewicz, PA
• Marian Oleszkowicz, MD
• Karl Joseph Olexa, LMSW

• Exercise & Sports Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Exercise & Sports Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.