Kristen Faber, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098409 Issued in MI

Practice address

1388 Baldwin St
Jenison, MI 49428-8937

Phone

(616) 259-9220

NPI assigned

May 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kristine Koetje Ma, PCGroup PAC ID 3375701873, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kristine Koetje Ma, PC

  • Psychologist
  • Spring Lake, MI
  • NPI 1316010770
  Medicare reassignment Care Compare group NPD
• Sollars and Associates

  • Psychologist
  • Sterling Heights, MI
  • NPI 1538482187
  Medicare reassignment NPD

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1306373840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 SPRINGLINE DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267825",
            "telephone_number": "616-328-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288937",
            "telephone_number": "616-259-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "KRISTEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J. Dykstra, PSY.D
• Brooke Nicole Emelander
• Eric R Hartman, DC, PLLC
• Patricia G Espinoza, LLP
• David John Estefan, D.C.
• Family Fare, LLC
• Katie Farnquist, MA COUNSELING, LPC
• Grace Feliz, LLMSW
• Kaley Elizabeth Filiccia
• Kaitlyn A Fiser

• Clinical Social Worker in Jenison, MI
• Providers in Jenison, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.