Active NPI
Jennifer Lynn Bedford, LLP
- Psychologist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013943
- Practice address
- 2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426 - Phone
- (616) 951-1132
- NPI assigned
- Sep 4, 2008
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013943 | MI | Primary |
Addresses
Primary practice location
2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Mailing address
1525 Crystal Valley CT SE
Caledonia, MI 49316-8118
Phone (616) 634-0547
Other practice location 1
4175 Parkway Place Dr SW Ste 100
Grandville, MI 49418-2382
Phone (616) 951-1132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013943 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stange Clinic, PC | Current | Accepting new patients |
Locations
2305 East Paris Ave SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 816-1758
4175 Parkway Place Dr SW
Ste 100
Grandville, MI 49418
Phone (616) 371-5166
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1083862957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 CRYSTAL VALLEY CT SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493168118",
"telephone_number": "616-634-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 E PARIS AVE SE STE 203",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462426",
"telephone_number": "616-951-1132"
}
],
"practiceLocations": [
{
"address_1": "4175 Parkway Place Dr SW Ste 100",
"address_purpose": "LOCATION",
"city": "Grandville",
"state": "MI",
"postal_code": "494182382",
"country_code": "US",
"telephone_number": "616-951-1132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDFORD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.