MS. KARLEENA ANN TILLOTTSON LMSW
NPI 1184367054
Social Worker - Clinical in Holland, MI
About Ms. Karleena Ann Tillottson Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KARLEENA ANN TILLOTTSON LMSW (NPI 1184367054) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6801116662) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Karleena Ann Tillottson Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Karleena Tillottson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLAND, MI 49423
HOLLAND, MI 49423
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 Karleena Tillottson's NPI number?
The NPI number for Karleena Tillottson is 1184367054. It was assigned to this individual provider in the NPPES registry on April 18, 2022. The provider is also known as Mrs. Karleena Ann Tillottson.
Where is Karleena Tillottson located?
Karleena Tillottson practices at 926 Washington Ave, Holland, MI 49423. The listed phone number is (616) 820-3780.
What is Karleena Tillottson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Karleena Tillottson enrolled in Medicare?
Yes. Karleena Tillottson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Karleena Tillottson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karleena Tillottson reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The 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 Karleena Tillottson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karleena Tillottson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Karleena Tillottson 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 Karleena Tillottson was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ms. Karleena Ann Tillottson, LMSW · NPI 1184367054
Clinical provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2022.
## Identity
- **NPI:** 1184367054 (Entity type: Individual)
- **Enumerated:** April 18, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801116662 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 926 WASHINGTON AVE, Holland, MI 49423-7725
- **Phone:** (616) 820-3780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184367054) · Data from the CMS NPPES public registry.