Providence Psychiatry Services, LTD.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

CNP2221 Issued in MN

Legal business name

PROVIDENCE PSYCHIATRY SERVICES, LTD.

Practice address

502 SE 10TH St
Grand Rapids, MN 55744-3921

Phone

(218) 246-6286

NPI assigned

Jun 8, 2016

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jean M Vaneps, APRNNPI 1942642681

Title

Psychiatric Nurse Practitioner

Phone

(218) 398-1998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Vaneps, CNP

  • Clinical Nurse Specialist
  • Grand Rapids, MN
  • NPI 1942642681
  Medicare reassignment NPD Authorized official
• Kendra Porter, MA

  • Professional Counselor
  • Grand Rapids, MN
  • NPI 1598494635
  NPD
• Valerie Hawkinson, MSW, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
  • NPI 1871057133
  NPD (past)
• Alexander C Meyer, LGSW, LADC

  • Social Worker
  • Grand Rapids, MN
  • NPI 1649712001
  NPD (past)
• Laura T Nikkel, LPCC

  • Counselor
  • Cohasset, MN
  • NPI 1225509664
  NPD (past)
• Jeffrey Olds, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
  • NPI 1699962324
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1871942953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 MUD LAKE RD NE",
            "address_2": "BOX 631",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566362174",
            "telephone_number": "218-398-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SE 10TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443921",
            "telephone_number": "218-246-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PSYCHIATRY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "VANEPS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "218-398-1998",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "CNP2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.