Individual provider Active NPI

Erica S Jansma, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1174494819
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093837 Issued in MI
Practice address
2360 Burton Pointe Blvd SE
Grand Rapids, MI 49546-6471
Phone
(616) 747-0367
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6801093837 MI Primary

Addresses

Primary practice location

2360 Burton Pointe Blvd SE
Grand Rapids, MI 49546-6471

Mailing address

2360 Burton Pointe Blvd SE
Grand Rapids, MI 49546-6471
Phone (616) 747-0367

Other practice location 1

2505 Ardmore St SE
Grand Rapids, MI 49506-4924
Phone (616) 559-1054

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

LicenseStateTypeSpecialty
6801093837MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Center Inc Social Worker PastSince Oct 30, 2020 Accepting new patients

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1174494819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 BURTON POINTE BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466471",
            "telephone_number": "616-747-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 BURTON POINTE BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466471",
            "telephone_number": "616-747-0367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Ardmore St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064924",
            "country_code": "US",
            "telephone_number": "616-559-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSMA",
        "first_name": "ERICA",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093837",
            "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 Sep 16, 2025; 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.