Jessica Holtvluwer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106703 Issued in MI

Practice address

255 Colrain St SW Ste 2
Grand Rapids, MI 49548-1057

Phone

(616) 581-8757

Fax

(616) 988-1493

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Mary Free Bed Rehabilitation Hospital

  • Rehabilitation Hospital
  • Grand Rapids, MI
  • NPI 1730133463
  Medicare reassignment NPD
• Mary Free Bed Rehabilitation Hospital

  dba Mary Free Bed Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1053641589
  NPD
• Family Outreach Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1619980927
  NPD (past)
• Life Journey PLLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1538531017
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1790223063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 COLRAIN ST SW STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481057",
            "telephone_number": "616-581-8757",
            "fax_number": "616-988-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COLRAIN ST SW STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481057",
            "telephone_number": "616-581-8757",
            "fax_number": "616-988-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTVLUWER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janessa Holt, RBT
• Mary R. Holt, CPNP
• Jean Marie Holthaus, LISW, LMSW
• Holton Management, LLC
• Julie Holtsclaw, LPN
• Mary Beth Holtz, LMT
• Andrew John Holwerda
• Carolin Jane Holwerda
• Harry Lee Holwerda, M D
• Mary Holwerda, BA

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 May 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.