Jennifer Bauer, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016853 Issued in MI

Practice address

2675 44TH St SW Ste 305
Wyoming, MI 49519-4191

Phone

(616) 777-7123

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bauer Psychological Services PLLC

  • Clinical Psychologist
  • Wyoming, MI
  • NPI 1497506273
  Medicare reassignment NPD Authorized official
• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment NPD
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1295044451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 PINE MEADOW DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248594",
            "telephone_number": "616-644-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 44TH ST SW STE 305",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194191",
            "telephone_number": "616-777-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 Parkway Place Dr SW Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182382",
            "country_code": "US",
            "telephone_number": "616-805-3660",
            "fax_number": "616-805-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 E Beltline Ave NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061267",
            "country_code": "US",
            "telephone_number": "616-805-3660",
            "fax_number": "616-805-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3790 30th st SE",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494181201",
            "country_code": "US",
            "telephone_number": "616-204-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JENNIFER",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014607",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Brianne Batten, PHARMD
• Battle Creek Vamc
• Battle Creek Vamc
• Nikeidra L Battle Debarge
• Bauer Psychological Services PLLC
• Kerri Baugh
• Jaret A Beane, DO
• Erin Beaton, NP
• Sydney Nicole Beck
• Coreen Beckett, OTR/L

• Clinical Psychologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.