Active NPI
Optum Behavioral Care of Colorado, P.C.
Doing business as Jenison Psychological Services of Michigan
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jenison, MI
National Provider Identifier
1346007697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
- Doing business as
- Jenison Psychological Services of Michigan
- Practice address
- 1836 Baldwin St
Jenison, MI 49428-8901 - Phone
- (616) 457-0016
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Johnson
- Title
- Ceo
- Phone
- (704) 506-6267
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
1836 Baldwin St
Jenison, MI 49428-8901
Mailing address
11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (616) 457-0016
Other names 1
- Jenison Psychological Services of Michigan
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Grand Rapids, MI
- NPI 1669740767
-
- Clinical Psychologist
- Jenison, MI
- NPI 1639432883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1346007697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 OPTUM CIR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442503",
"telephone_number": "616-457-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 BALDWIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494288901",
"telephone_number": "616-457-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-506-6267"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jenison Psychological Services of Michigan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jenison, MI
- Heather Louise O'Brien, LPC
- Hannah O'Connor
- Meghan O'Neill
- Oak Crest Health Care Services, Inc.
- Octave Hearing & Audiology Services, LLC
- Optum Behavioral Care of Colorado, P.C. (Jenison Psychological Services of Michigan)
- Michelle Anne Orrell, RN
- Danielle Osantowski
- Pacific Counseling Services PLLC
- Alec James Papes, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.