Individual provider Active NPI

Amber Bouwkamp, LMSW

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1497278212
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108187 Issued in MI
Practice address
221 W Webster Ave # 515
Muskegon, MI 49440-1294
Phone
(616) 209-8437
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 6801108187 MI Primary

Addresses

Primary practice location

221 W Webster Ave # 515
Muskegon, MI 49440-1294

Mailing address

100 Madison St
Coopersville, MI 49404-1227
Phone (616) 844-8038

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
I20210526001314 MI Practitioner - Clinical Social Worker 0042619959 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince May 1, 2021 Accepting new patients
Elevated Wellness Counseling LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients
Interact of Michigan, Inc PastSince Jul 1, 2022 Accepting new patients

Locations

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

316 Morris Ave
Ste 200
Muskegon, MI 49440
Phone (616) 204-8984

221 W Webster Ave
Ste 515
Muskegon, MI 49440
Phone (616) 209-8437

65 S Main St
Ste A
Rockford, MI 49341

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 W Webster Ave
Suite 515
Muskegon, MI 49440-1294
Phone (616) 209-8437

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1497278212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041227",
            "telephone_number": "616-844-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W WEBSTER AVE # 515",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401294",
            "telephone_number": "616-209-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWKAMP",
        "first_name": "AMBER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.