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MR. PHILIP MARINUS KOOLE LLMSW
NPI 1194416735
Social Worker in Grand Rapids, MI

Active since May 16, 2023PECOS Enrolled
1165 HALL ST SE APT 2, GRAND RAPIDS, MI 49507(616) 265-6265 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Philip Marinus Koole Llmsw NPPES

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

MR. PHILIP MARINUS KOOLE LLMSW (NPI 1194416735) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6851116202) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194416735
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. PHILIP MARINUS KOOLECredential: LLMSW
Location Address1165 HALL ST SE APT 2Grand Rapids, MI 49507-1973
Mailing Address1165 Hall St Se Apt 2Grand Rapids, MI 49507-1973 · (616) 265-6265
Phone(616) 265-6265
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 16, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1194416735 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 · 6851116202
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.
1165 HALL ST SE APT 2, Grand Rapids, MI 49507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Philip Marinus Koole Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264902907
PECOS Enrollment IDI20260522003235
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Philip Koole's NPI number?

The NPI number for Philip Koole is 1194416735. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Philip Koole located?

Philip Koole practices at 1165 Hall St SE Apt 2, Grand Rapids, MI 49507. The listed phone number is (616) 265-6265.

What is Philip Koole's specialty?

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

Is Philip Koole enrolled in Medicare?

Yes. Philip Koole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Koole was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.