Active NPI
Kimberly Anne-Hansen Holwerda, MA
- Counseling Psychologist
- Jenison, MI
National Provider Identifier
1962453548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- L136241
- Practice address
- 1836 Baldwin St
Jenison, MI 49428-8901 - Phone
- (616) 457-0016
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | L136241 | MI | Primary |
Addresses
Primary practice location
1836 Baldwin St
Jenison, MI 49428-8901
Mailing address
1293 Monte Carlo Dr
Jenison, MI 49428-8301
Phone (616) 667-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L136241 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962453548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1293 MONTE CARLO DR",
"city": "JENISON",
"state": "MI",
"postal_code": "494288301",
"telephone_number": "616-667-2705",
"fax_number": "616-667-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 BALDWIN ST",
"city": "JENISON",
"state": "MI",
"postal_code": "494288901",
"telephone_number": "616-457-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLWERDA",
"first_name": "KIMBERLY",
"middle_name": "ANNE-HANSEN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "L136241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.