Abundance of Hope

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085550 Issued in MI

Legal business name

ABUNDANCE OF HOPE

Practice address

186 S River Ave Ste 5
Holland, MI 49423-2848

Phone

(616) 260-0993

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Jill Suzann Vanderbent, LMSWNPI 1952473928

Title

Owner

Phone

(616) 260-0993

Specialties & licenses 1

Addresses

Other names 1

• Abundance of Hope LLC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Suzann Vander Bent, LMSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1952473928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1871044214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S RIVER AVE STE 5",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232848",
            "telephone_number": "616-260-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S RIVER AVE STE 5",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232848",
            "telephone_number": "616-260-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "VANDERBENT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUZANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-260-0993",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundance of Hope LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 8TH Street Counseling, PLLC (Sandy Kemink)
• Shaina Michelle Abel
• Nicholas A Abid, D.O.
• Abundant Life Birth and Doula Services LLC (Abundant Life)
• Marcy Lynn Achterhof, RN
• Michelle A Achterhof, LMSW
• Autumn Zhen Ackerson
• Jaimee Kaelynne Ackley

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.