Jonas N Beversluis, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090183 Issued in MI

Practice address

2820 College Ave
Escanaba, MI 49829-9591

Phone

(906) 233-1236

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PathwaysGroup PAC ID 4284626391, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546
  Medicare reassignment Care Compare group
• Pathways Community Mental Heatlh

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Escanaba, MI
  • NPI 1558520858
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1639312044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERSLUIS",
        "first_name": "JONAS",
        "middle_name": "N",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001698",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellin Psychiatric Center Inc.
• Patricia Ann Benson, D.C., C.C.S.P.
• Kaylyn Marie Bernard, MS, BS EXERCISE SCI
• John Raynond Berres, LMSW
• Louis A Bersine, LLP
• Edward F Bigsby, M.D.
• Leann Bink, LMSW
• Bishop Noa Home for Senior Citizens
• Ronald H Bissett, MD
• Amanda Bloxton-Kippola

• Clinical Social Worker in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.