Individual provider Active NPI

Colleen Dills, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1205688389
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801122017 Issued in MI
Practice address
600 S Beacon Blvd # A2
Grand Haven, MI 49417-2178
Phone
(616) 805-3660
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 6801122017 MI Primary

Addresses

Primary practice location

600 S Beacon Blvd # A2
Grand Haven, MI 49417-2178

Mailing address

1017 Porter Rd
Norton Shores, MI 49441-5851

Other practice location 1

316 Morris Ave Ste 200
Muskegon, MI 49440-1154
Phone (616) 805-3660 ext. 1181

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
I20260506000200 MI Practitioner - Clinical Social Worker 8325516669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1457 Hazen St SE
Grand Rapids, MI 49507-3712

333 Bridge St NW
Suite 1120
Grand Rapids, MI 49504-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801122017MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince Apr 29, 2026 Accepting new patients

Locations

600 S Beacon Blvd
#A2
Grand Haven, MI 49417
Phone (231) 286-6066

600 S Beacon Blvd
Ste A2
Grand Haven, MI 49417

600 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 691-6764

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

316 Morris Ave
Ste 200
Muskegon, MI 49440
Phone (616) 204-8984

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.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1205688389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 PORTER RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S BEACON BLVD # A2",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172178",
            "telephone_number": "616-805-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Morris Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494401154",
            "country_code": "US",
            "telephone_number": "616-805-3660 x1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLS",
        "first_name": "COLLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801122017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.