Individual provider Active NPI

Julia Chohee Burgoon

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1245014935
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115263 Issued in MI
Practice address
500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone
(616) 591-9000
Fax
(616) 591-9060
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 6851115263 MI Primary

Addresses

Primary practice location

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166

Mailing address

238 Hoover Blvd Ste 10
Holland, MI 49423-3755
Phone (616) 591-9000

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
I20260223000922 MI Practitioner - Clinical Social Worker 9739660366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1457 Haven St SE
Grand Rapids, MI 49507-3712

238 Hoover Blvd
Suite 10
Holland, MI 49423-3755

320 Hall St SW
Suite 202
Grand Rapids, MI 49507-9916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851115263MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Therapy Group Inc CurrentSince Feb 6, 2026 Accepting new patients

Locations

500 Cascade West Pkwy SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 591-9000

238 Hoover Blvd
Ste 10
Holland, MI 49423
Phone (616) 591-9000

Organizations & group practices 2

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1245014935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233755",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOON",
        "first_name": "JULIA",
        "middle_name": "CHOHEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.