| Timothy James Harlos, LLC | |
|
1388 Baldwin St # A, Jenison, MI 49428-8937 | |
| (330) 671-9880 | |
| Not Available |
| Full Name | Timothy James Harlos |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 1388 Baldwin St # A, Jenison, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245074319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6451022950 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kristine Koetje Ma, Pc | 3375701873 | 21 |
| Entity Name | Kristine Koetje Ma, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy James Harlos, LLC 631 Evergreen St, Jenison, MI 49428-8315 Ph: (330) 671-9880 | Timothy James Harlos, LLC 1388 Baldwin St # A, Jenison, MI 49428-8937 Ph: (330) 671-9880 |
Mrs. Denise Ann Boldt, Counselor Medicare: Medicare Enrolled Practice Location: 7678 Cottonwood Dr Ste C, Jenison, MI 49428 Phone: 616-426-9034 |
Patrick Kieran Hughes Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7537 20th Ave Ste 105, Jenison, MI 49428 Phone: 616-209-8280 |
Gracen Loraine Smit, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 956-348-7515 |
Marley Nicole Neverth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1354 Baldwin St Ste 106, Jenison, MI 49428 Phone: 616-315-2020 |
Emily Morgan Dunham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1346 Baldwin St, Jenison, MI 49428 Phone: 616-765-8585 |
Bradley Stalker, MA, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 616-404-4564 |
Mr. Nicholas J Melville, LLPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1360 Baldwin St, Jenison, MI 49428 Phone: 616-202-1910 |