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

Q: 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.

Q: What is Philip Koole's specialty?

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

Q: 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.

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: November 01, 2026.

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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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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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Philip Koole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheri Rodriguez, Lmsw, Acsw

4.0 mi

Counselor

4328 KALAMAZOO AVE SE
Grand Rapids, MI 49508

Reassigned Medicare billing, Michigan enrollment
9 clinicians in this Medicare group

NPI 1245515576 (616) 260-3559

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 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.

Which organization bills Medicare for Philip Koole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Koole reassigns Medicare benefits to Sheri Rodriguez, Lmsw, Acsw (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 Philip Koole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Koole accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Philip Koole 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 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.