Individual provider Active NPI

Ann Reinholt

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1144659640
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096101 Issued in MI
Practice address
614 Romence Rd Ste 245
Portage, MI 49024-3613
Phone
(269) 615-7637
NPI assigned
Nov 5, 2013
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801096101 MI Primary

Addresses

Primary practice location

614 Romence Rd Ste 245
Portage, MI 49024-3613

Mailing address

614 Romence Rd Ste 245
Portage, MI 49024-3613
Phone (269) 615-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 23, 2025 through Sep 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801096101MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Child and Family Counseling, PLLC Clinical CurrentSince Jul 31, 2023 Accepting new patients

Locations

614 Romence Rd
Ste 245
Portage, MI 49024
Phone (269) 615-7637

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144659640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD STE 245",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-615-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD STE 245",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-615-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHOLT",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.