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JUMPSTART 2 RECOVERY LLC
NPI 1114405958
Social Worker in Grand Rapids, MI

Active since August 03, 2018
1345 MONROE AVE NW STE 322, GRAND RAPIDS, MI 49505(616) 308-3800 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jumpstart 2 Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUMPSTART 2 RECOVERY LLC (NPI 1114405958) is a healthcare organization registered as a social worker in Grand Rapids, Michigan and active in the NPI registry since August 2018. The organization lists Gwendolyn Thompson, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1114405958
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameJUMPSTART 2 RECOVERY LLC
Location Address1345 MONROE AVE NW STE 322Grand Rapids, MI 49505-4674
Mailing Address1345 Monroe Ave Nw Ste 322Grand Rapids, MI 49505-4674 · (616) 308-3800
Phone(616) 308-3800
Organization SubpartNo
Authorized OfficialGwendolyn ThompsonCredentialing · (919) 615-2371
Enumeration DateAugust 3, 2018
Last NPPES UpdateJanuary 19, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1114405958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801097891
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1345 MONROE AVE NW STE 322, Grand Rapids, MI 49505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jumpstart 2 Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jumpstart 2 Recovery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexander Thompson, MSW
Clinical Social Worker
NPI 1265919849
1345 MONROE AVE NW STE 322
Grand Rapids, MI 49505
(616) 949-9550
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jumpstart 2 Recovery LLC's NPI number?

The NPI number for Jumpstart 2 Recovery LLC is 1114405958. It was assigned to this organization in the NPPES registry on August 3, 2018.

Where is Jumpstart 2 Recovery LLC located?

Jumpstart 2 Recovery LLC is located at 1345 Monroe Ave NW Ste 322, Grand Rapids, MI 49505. The listed phone number is (616) 308-3800.

What is Jumpstart 2 Recovery LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jumpstart 2 Recovery LLC enrolled in Medicare?

Yes. Jumpstart 2 Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jumpstart 2 Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jumpstart 2 Recovery LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jumpstart 2 Recovery LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jumpstart 2 Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jumpstart 2 Recovery LLC was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.