Kaeleigh Alana-Marie Veldboom

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801107846 Issued in MI

Practice address

1514 Wealthy St SE Ste 252
Grand Rapids, MI 49506-2755

Phone

(616) 228-8973

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kaeleigh Alana-Marie Poole Former name

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

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.

• Healing Center of West Michigan PLLC

  dba Healing Center of West Michigan

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1659147551
  Medicare reassignment NPD

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1801482583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MANZANA CT NW APT 3A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495347122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE STE 252",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-228-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDBOOM",
        "first_name": "KAELEIGH",
        "middle_name": "ALANA-MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115193",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAELEIGH",
            "last_name": "POOLE",
            "middle_name": "ALANA-MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Veitengruber, RN
• Katherine Jeanette Veith
• Alyson Renee Vela, BSW
• Ravi Kanth Velagapudi, MD
• Paola Beatriz Velazquez- Gonzalez, DR
• Daniel James Veldheer, M.D.
• Molly Bridget Boyle Veldheer, OTD, OTR/L
• Sara Louise Veldheer, LLMSW
• Holly Veldhuis
• Abigail Faith Veldkamp, O.D.

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.