Individual provider Active NPI

Juna Kay Killion, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1356705271
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110695 Issued in MI
Practice address
4829 E Beltline Ave NE Ste 302
Grand Rapids, MI 49525-9350
Phone
(616) 226-6522
Fax
(616) 608-6751
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 6801110695 MI Primary

Addresses

Primary practice location

4829 E Beltline Ave NE Ste 302
Grand Rapids, MI 49525-9350

Mailing address

4829 E Beltline Ave NE Ste 302
Grand Rapids, MI 49525-9350
Phone (616) 226-6522

Other names 1

  • Juna Kay Spencer Former name

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
I20210816000238 MI Practitioner - Clinical Social Worker 5294139176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801110695MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LJ Counseling Services LLC Clinical CurrentSince Jul 27, 2021 Accepting new patients

Locations

4829 E Beltline Ave NE
Ste 302
Grand Rapids, MI 49525
Phone (616) 226-6522

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1356705271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-226-6522",
            "fax_number": "616-608-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-226-6522",
            "fax_number": "616-608-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLION",
        "first_name": "JUNA",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNA",
            "last_name": "SPENCER",
            "middle_name": "KAY",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.