Organization Active NPI

Seniorwell Counseling and Support

  • Clinical Social Worker
  • Ada, MI
National Provider Identifier
1386522860
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SENIORWELL COUNSELING AND SUPPORT
Practice address
293 Clements Mill CT SE
Ada, MI 49301-7701
Phone
(616) 443-7841
NPI assigned
Aug 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Authorized official

Name
Kirk Vander MolenNPI 1477362887
Title
Managing Owner
Phone
(616) 443-7841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

293 Clements Mill CT SE
Ada, MI 49301-7701

Mailing address

293 Clements Mill CT SE
Ada, MI 49301-7701
Phone (616) 443-7841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006001528 MI Part B Supplier - Clinic/Group Practice 8729584966 Receives reassigned benefits from 1 practitioner
Practice locations: Ada, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1386522860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 CLEMENTS MILL CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017701",
            "telephone_number": "616-443-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 CLEMENTS MILL CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017701",
            "telephone_number": "616-443-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORWELL COUNSELING AND SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "VANDER MOLEN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "616-443-7841"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.