Jennifer Marie Vander Wilp, MA, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014610 Issued in MI

Practice address

1843 R W Berends Dr SW
Wyoming, MI 49519-4955

Phone

(616) 773-2908

Fax

(616) 532-3046

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

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

Other names 1

• Jennifer Marie Sikkema Former name

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

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Christian Counseling PC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1508090911
  Medicare reassignment NPD
• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1437557857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 R W BERENDS DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194955",
            "telephone_number": "616-773-2908",
            "fax_number": "616-532-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 R W BERENDS DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194955",
            "telephone_number": "616-773-2908",
            "fax_number": "616-532-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WILP",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIKKEMA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sidney Vander Ark, LLMSW, QIDP
• Alyssa Vander Bent
• Sarah A Vander Hart, MS, RD, CDE
• Melissa Lynn Vander Kooi, LPC
• Melissa Marie Vander Laan, LLMSW
• Kelsee Amber Vanderbaan, NP
• Lindsay M Vandergeld
• Carol Jane Vandergraaf, RN
• Wayne E Vanderkolk, M.D.
• Katelynn Ann Vanderkooi, DC

• Professional Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.