Jumpstart 2 Recovery LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801097891 Issued in MI

Legal business name

JUMPSTART 2 RECOVERY LLC

Practice address

1345 Monroe Ave NW Ste 322
Grand Rapids, MI 49505-4674

Phone

(616) 308-3800

NPI assigned

Aug 3, 2018

Last updated

Jan 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwendolyn Thompson

Title

Credentialing

Phone

(919) 615-2371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Thompson, MSW

  • Social Worker
  • Grand Rapids, MI
  • NPI 1265919849
  Medicare reassignment NPD

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737244800000",
    "number": "1114405958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 322",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054674",
            "telephone_number": "616-308-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 322",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054674",
            "telephone_number": "616-308-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART 2 RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "919-615-2371"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801097891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Alicki Counseling Services
• Julie Cusic, LMSW, LLC
• Julie R Vanhoose DMD and Kyle Gies DDS, PC
• Julie Schillim LLC
• Olivia A Julius
• Alexis Morgan June
• Luca Lee June, LMSW
• Sherry Lynn June, LLP
• Charlotte Ann Junewick, LLMSW
• Ellen Jensine Junewick, PA

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.