Jenny Lynn Chien, LPC
Individual provider Active NPI Professional Counselor · Grand Rapids, MI
NPI 1891946554 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1891946554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401016220 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210004033 | MI | Practitioner - Mental Health Counselor | 0840784401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH5541 | FL | MD | Mental Health Counselor |
| 6401016220 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Therapy Group Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH5541 | FL | |
| Professional Counselor | 101YP2500X | 6401016220 | MI | Yes |
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
- Jenny Lynn Moulton
Other providers in Grand Rapids, MI
- James P Chiavaras
- Christa Marie Chick
- Natoya Chick
- Christian Chickering
- Scott Richard Chicotka
- Randy L Chilcote
- Mary Beth Child
- Joanna J Childers
- Childhood Behavior Consulting Services
- Children'S Assessment Center
All providers in Grand Rapids, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.