Individual provider Active NPI

Katlynn Elizabeth Bovee, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1780244673
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
625 Kenmoor Ave SE Ste 113487
Grand Rapids, MI 49546-2395
Phone
(989) 225-7652
Fax
(989) 391-9596
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

625 Kenmoor Ave SE Ste 113487
Grand Rapids, MI 49546-2395

Mailing address

625 Kenmoor Ave SE Ste 113487
Grand Rapids, MI 49546-2395
Phone (989) 225-7652

Other practice location 1

4785 S Washington Rd
Saginaw, MI 48601-7205
Phone (989) 475-3172

Other practice location 2

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone (989) 220-3060

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
I20211229000836 MI Practitioner - Clinical Social Worker 0345631370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Saginaw Valley Medical College - NLG, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLC 1,187 clinicians

Practice addresses (Care Compare)

31000 Lahser Rd
Suite 5
Beverly Hills, MI 48025-4847
Phone (248) 686-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Dec 28, 2021 Accepting new patients
Maple Leaf Counseling Services LLC Social Worker CurrentSince Nov 11, 2022 Accepting new patients
Bay Harbor Counseling PLLC Social Worker CurrentSince Jun 23, 2024 Accepting new patients

Locations

4151 Shrestha Dr
Ste D
Bay City, MI 48706
Phone (989) 220-3060

31000 Lahser Rd
Ste 5
Beverly Hills, MI 48025
Phone (248) 644-2175

625 Kenmoor Ave SE
Ste 113487
Grand Rapids, MI 49546
Phone (892) 257-6529

625 Kenmoor Ave SE
Ste 350
Grand Rapids, MI 49546
Phone (248) 243-1911

524 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 264-4920

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1780244673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 113487",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "989-225-7652",
            "fax_number": "989-391-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 113487",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "989-225-7652",
            "fax_number": "989-391-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4785 S Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486017205",
            "country_code": "US",
            "telephone_number": "989-475-3172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 White Tail Creek Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486385896",
            "country_code": "US",
            "telephone_number": "989-220-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVEE",
        "first_name": "KATLYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.