Individual provider Active NPI

Janice Heinlen

  • Professional Counselor
  • Grandville, MI
National Provider Identifier
1194227439
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018844 Issued in MI
Practice address
3181 Prairie St SW Ste 104
Grandville, MI 49418-2076
Phone
(616) 537-2872
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014612 MI
Professional Counselor 101YP2500X 6401018844 MI Primary

Addresses

Primary practice location

3181 Prairie St SW Ste 104
Grandville, MI 49418-2076

Mailing address

3181 Prairie St SW Ste 104
Grandville, MI 49418-2076
Phone (616) 537-2872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002034 MI Practitioner - Mental Health Counselor 5597114678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3181 Prairie St SW
Suite 104
Grandville, MI 49418-2076
Phone (513) 781-9747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014612MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heinlen Counseling PLLC CurrentSince Nov 14, 2023 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince May 12, 2025 Accepting new patients

Locations

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1194227439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 PRAIRIE ST SW STE 104",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182076",
            "telephone_number": "616-537-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 PRAIRIE ST SW STE 104",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182076",
            "telephone_number": "616-537-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLEN",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014612",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.