Individual provider Active NPI

Jenny Lynn Chien, LPC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1891946554
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016220 Issued in MI
Practice address
500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone
(616) 591-9000
Fax
(616) 432-3059
NPI assigned
Sep 30, 2008
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH5541 FL
Professional Counselor 101YP2500X 6401016220 MI Primary

Addresses

Primary practice location

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166

Mailing address

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone (616) 591-9000

Other names 1

  • Jenny Lynn Moulton Former name

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
I20251210004033 MI Practitioner - Mental Health Counselor 0840784401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

238 Hoover Blvd
Suite 10
Holland, MI 49423-3755

320 Hall St SW
Suite 202
Grand Rapids, MI 49507-9916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH5541FLMDMental Health Counselor
6401016220MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Rapids Therapy Group Inc CurrentSince Oct 6, 2025 Accepting new patients
Patrick Henry Boys and Girls Plantation Past Accepting new patients
Patrick Henry Boys and Girls Plantation, Inc Professional Past Accepting new patients

Locations

500 Cascade West Pkwy SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 591-9000

238 Hoover Blvd
Ste 10
Holland, MI 49423
Phone (616) 591-9000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1891946554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000",
            "fax_number": "616-432-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000",
            "fax_number": "616-432-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEN",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH5541",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "MOULTON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.