Janelle Carissa Kloske, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007200 Issued in MI

Practice address

486 Century LN Ste 204
Holland, MI 49423-4295

Phone

(360) 440-4531

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trio Wellspace, LLC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1831859826

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1740445055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 WILDWOOD DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236921",
            "telephone_number": "360-440-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 CENTURY LN STE 204",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234295",
            "telephone_number": "360-440-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSKE",
        "first_name": "JANELLE",
        "middle_name": "CARISSA",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004506",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13583",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Klein, RN
• Randall Klein, PA
• Gwen Klemm
• Julie B Klomparens
• Erin Kloosterman
• Suzanne C Kluting, CO
• Amber Knapp
• Peter A. Knoester, M.D.
• Knol Chiropractic Clinic Inc.
• Jennifer Sue Knol, D.C.

• Occupational Therapist in Holland, MI
• Providers in Holland, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.