Organization Active NPI

JDS Midlife Tools for Living Practices LLC

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1578284006
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JDS MIDLIFE TOOLS FOR LIVING PRACTICES LLC
Practice address
205 W 29TH St Ste 10
Holland, MI 49423-6973
Phone
(616) 217-9489
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Judith VereykenNPI 1629161674
Title
Owner
Phone
(616) 217-9489

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

205 W 29TH St Ste 10
Holland, MI 49423-6973

Mailing address

520 Butternut Dr Ste 8
Holland, MI 49424-1587
Phone (616) 217-9489

National Provider Directory

National Provider Directory

Locations

520 Butternut Dr
Ste 8
Holland, MI 49424
Phone (616) 510-1267

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": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1578284006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BUTTERNUT DR STE 8",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241587",
            "telephone_number": "616-217-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 29TH ST STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236973",
            "telephone_number": "616-217-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS MIDLIFE TOOLS FOR LIVING PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "VEREYKEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-217-9489"
    },
    "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 Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.