Individual provider Active NPI

Brittany Vanoeveren

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1881058840
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096032 Issued in MI
Practice address
201 Monroe Ave NW
Suite 300
Grand Rapids, MI 49503-2212
Phone
(800) 600-4096
Fax
(800) 606-8839
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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 6801096032 MI Primary

Addresses

Primary practice location

201 Monroe Ave NW
Suite 300
Grand Rapids, MI 49503-2212

Mailing address

201 Monroe Ave NW
Suite 300
Grand Rapids, MI 49503-2212
Phone (800) 600-4096

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
I20221017002748 MI Practitioner - Clinical Social Worker 1951693043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Psychological Services LLCGroup PAC ID 6103238167, 10 clinicians

Practice addresses (Care Compare)

400 136TH Ave
Suite 416
Holland, MI 49424-2905
Phone (616) 952-9957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Psychological Services LLC CurrentSince Aug 28, 2022 Accepting new patients
139 Education, LLC. Past Accepting new patients

Locations

400 136th Ave
Ste 416
Holland, MI 49424
Phone (616) 738-0470

890 Washington Ave
Ste 150
Holland, MI 49423
Phone (616) 952-9957

Organizations & group practices 2

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1881058840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE AVE NW",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032212",
            "telephone_number": "800-600-4096",
            "fax_number": "800-606-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONROE AVE NW",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032212",
            "telephone_number": "800-600-4096",
            "fax_number": "800-606-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOEVEREN",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.