Organization Active NPI

Jennifer Kates, LMSW LLC

  • Adult Mental Health Clinic/Center
  • Holland, MI
National Provider Identifier
1457916173
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JENNIFER KATES, LMSW LLC
Practice address
36 W 8TH St Ste 200
Holland, MI 49423-2702
Phone
(616) 994-2663
Fax
(866) 212-5601
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Jennifer Wilson Kates, LMSWNPI 1659688232
Title
Owner
Phone
(616) 994-2663

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

36 W 8TH St Ste 200
Holland, MI 49423-2702

Mailing address

36 W 8TH St Ste 200
Holland, MI 49423-2702
Phone (616) 994-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202002236 MI Part B Supplier - Clinic/Group Practice 6103237722 Receives reassigned benefits from 1 practitioner
Practice locations: Holland, MI

National Provider Directory

National Provider Directory

Locations

36 W 8th St
Ste 212
Holland, MI 49423

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": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1457916173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232702",
            "telephone_number": "616-994-2663",
            "fax_number": "866-212-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232702",
            "telephone_number": "616-994-2663",
            "fax_number": "866-212-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KATES, LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "KATES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-994-2663",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.