| County Of Ottawa | |
|
12265 James St Holland MI 49424-8613 | |
| (616) 393-5600 | |
| (616) 393-5687 |
| Full Name | County Of Ottawa |
|---|---|
| Speciality | Clinic/Center |
| Location | 12265 James St, Holland, Michigan |
| Authorized Official Name and Position | Lynne Doyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6164945421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Ottawa 12265 James St Holland MI 49424-8613 Ph: (616) 393-5600 | County Of Ottawa 12265 James St Holland MI 49424-8613 Ph: (616) 393-5600 |
| NPI Number | 1619932381 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 0042118036 |
|---|---|
| Medicare Enrollment ID | O20050108000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619932381 | NPI | - | NPPES |
| 104948647 | Medicaid | MI | |
| 174454610 | Medicaid | MI | |
| 104359998 | Medicaid | MI | |
| 103234489 | Medicaid | MI | |
| 774350428 | Medicaid | MI |
| Provider Name | Marlise Bakker Van Zytveld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235152471 PECOS PAC ID: 5496761199 Enrollment ID: I20060306000223 |
| Provider Name | Barbara A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962694133 PECOS PAC ID: 8224114525 Enrollment ID: I20090120000276 |
| Provider Name | Christine R Keener |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710296066 PECOS PAC ID: 9335321306 Enrollment ID: I20110311000584 |
| Provider Name | Matthew A Vanderhyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356550644 PECOS PAC ID: 5698939932 Enrollment ID: I20120618000062 |
| Provider Name | Susan A Weaver |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982921573 PECOS PAC ID: 0042443723 Enrollment ID: I20140505000078 |
| Provider Name | Jenifer N Sleight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144632761 PECOS PAC ID: 0840412540 Enrollment ID: I20141113000836 |
| Provider Name | Shelly Neifert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851676951 PECOS PAC ID: 1456673409 Enrollment ID: I20141203000746 |
| Provider Name | Matthew J Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184926800 PECOS PAC ID: 8921317884 Enrollment ID: I20151016001041 |
| Provider Name | David R Franzblau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669458576 PECOS PAC ID: 6507951498 Enrollment ID: I20151204001605 |
| Provider Name | Keith Morley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336481118 PECOS PAC ID: 7517266950 Enrollment ID: I20160505002129 |
| Provider Name | Joel Ebbers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598918534 PECOS PAC ID: 9931496304 Enrollment ID: I20160928002162 |
| Provider Name | Krista A Bedells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700225182 PECOS PAC ID: 4284995432 Enrollment ID: I20180302001314 |
| Provider Name | Joseph C Drumm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619262680 PECOS PAC ID: 6305145020 Enrollment ID: I20180427000972 |
| Provider Name | Rachel Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025888 PECOS PAC ID: 1153651153 Enrollment ID: I20190917003766 |
| Provider Name | Leah Jean Magnuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322245 PECOS PAC ID: 2961734397 Enrollment ID: I20191104002211 |
| Provider Name | Sandra Candy Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174848899 PECOS PAC ID: 2860807377 Enrollment ID: I20210216000782 |
| Provider Name | Rhonda Marie Rutan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003158882 PECOS PAC ID: 2567877947 Enrollment ID: I20210217000324 |
| Provider Name | Shaine Francine Reinecke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730457896 PECOS PAC ID: 4688089931 Enrollment ID: I20210218000714 |
| Provider Name | Ann Cudney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396384426 PECOS PAC ID: 7618385055 Enrollment ID: I20210422003106 |
| Provider Name | Erica Gudelsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780351635 PECOS PAC ID: 6305238023 Enrollment ID: I20220110000491 |
| Provider Name | Kelsey Quigley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265087951 PECOS PAC ID: 4688067127 Enrollment ID: I20220207000458 |
| Provider Name | Erika Ree Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639411341 PECOS PAC ID: 8628442696 Enrollment ID: I20230315001620 |
| Provider Name | Kristen Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902391733 PECOS PAC ID: 1254786304 Enrollment ID: I20240131000454 |
| Provider Name | Teresa Lynn Lahaie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659628550 PECOS PAC ID: 0941642789 Enrollment ID: I20240524002793 |
| Provider Name | Kelly Jo Boeve |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063701175 PECOS PAC ID: 1557887361 Enrollment ID: I20250424002151 |
| Provider Name | Clark Cunningham-white |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609525039 PECOS PAC ID: 7012433865 Enrollment ID: I20250424002880 |
| Provider Name | Lisa Marie Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942822721 PECOS PAC ID: 9638695489 Enrollment ID: I20250424002947 |
| Provider Name | Jessica Lynn Kowalkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477028512 PECOS PAC ID: 8426574286 Enrollment ID: I20250424003047 |
| Provider Name | Rachel Lucile Bekkering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174148217 PECOS PAC ID: 1951827609 Enrollment ID: I20250425001633 |
| Provider Name | Ireana Destiney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962976399 PECOS PAC ID: 8527584192 Enrollment ID: I20250428000209 |
| Provider Name | Carrie Pernesky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164855946 PECOS PAC ID: 4183140635 Enrollment ID: I20250428002293 |
| Provider Name | Elizabeth Krontz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972967537 PECOS PAC ID: 5597281808 Enrollment ID: I20250430000256 |
| Provider Name | Kayla Matash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922541895 PECOS PAC ID: 8426575499 Enrollment ID: I20250505000842 |
| Provider Name | Nicole Bowyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457884645 PECOS PAC ID: 9436676095 Enrollment ID: I20250507000968 |
| Provider Name | Kyle Klaasen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366957573 PECOS PAC ID: 3577081629 Enrollment ID: I20250513002416 |
| Provider Name | Hope Teresa Tinholt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336643675 PECOS PAC ID: 7517485527 Enrollment ID: I20250514000603 |
| Provider Name | Autumn Putnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568084226 PECOS PAC ID: 1557889516 Enrollment ID: I20250514001776 |
Counseling & Consultation Resources Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0549 Fax: 616-355-0480 | |
Comprehensive Psyiatric Services Of Western Mi Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12978 James Street, Ste 10, Holland, MI 49424 Phone: 616-399-7005 Fax: 616-399-7150 | |
Benjamin's Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15468 Riley St, Holland, MI 49424 Phone: 616-399-6293 | |
Center For Family Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Hoover Blvd, Suite A, Holland, MI 49423 Phone: 616-392-7695 Fax: 616-392-6955 | |
Holland Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3235 Wellness Dr, Holland, MI 49424 Phone: 616-392-5141 | |
Daniel G. Rooks, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3124 N Wellness Dr, Suite 30, Holland, MI 49424 Phone: 616-786-3350 Fax: 616-786-3375 | |
Ck Psychological Associates, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 246 S River Ave, Suite 105, Holland, MI 49423 Phone: 616-494-0808 Fax: 616-494-0011 |