Active NPI
Jill Renee Bonthuis, LLMSW
- Social Worker
- Muskegon, MI
National Provider Identifier
1174906739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801098005
- Practice address
- 376 E Apple Avenue
Muskegon, MI 49442-3466 - Phone
- (231) 724-1111
- Fax
- (231) 724-4188
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801098005 | MI | Primary |
Addresses
Primary practice location
376 E Apple Avenue
Muskegon, MI 49442-3466
Mailing address
376 E Apple Avenue
Muskegon, MI 49442-3466
Phone (231) 724-1111
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 |
|---|---|---|---|
| 6801098005 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Resources, Inc. | Current | 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 and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Muskegon, MI
- NPI 1245478056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1174906739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 E APPLE AVENUE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423466",
"telephone_number": "231-724-1111",
"fax_number": "231-724-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 E APPLE AVENUE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423466",
"telephone_number": "231-724-1111",
"fax_number": "231-724-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTHUIS",
"first_name": "JILL",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801098005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.