Optum Behavioral Care of Colorado, P.C.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

OPTUM BEHAVIORAL CARE OF COLORADO, P.C.

Doing business as

Jenison Psychological Services of Michigan

Practice address

1836 Baldwin St
Jenison, MI 49428-8901

Phone

(616) 457-0016

NPI assigned

Jan 24, 2024

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Johnson

Title

Ceo

Phone

(704) 506-6267

Specialties & licenses 1

Addresses

Other names 1

• Jenison Psychological Services of Michigan Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Cohen

  • Clinical Social Worker
  • Jenison, MI
  • NPI 1093272395
  NPD
• Philip Gastineau, LPC

  • Professional Counselor
  • Jenison, MI
  • NPI 1780172494

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1700648953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "616-457-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288901",
            "telephone_number": "616-457-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-506-6267"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenison Psychological Services of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah O'Connor
• Meghan O'Neill
• Oak Crest Health Care Services, Inc.
• Octave Hearing & Audiology Services, LLC
• Optum Behavioral Care of Colorado, P.C. (Jenison Psychological Services of Michigan)
• Michelle Anne Orrell, RN
• Danielle Osantowski
• Pacific Counseling Services PLLC
• Alec James Papes, DC
• Patchwork Therapy Services

• Counseling Psychologist in Jenison, MI
• Providers in Jenison, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.