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JEANNE L STARK LMSW
NPI 1194886846
Social Worker in Grand Rapids, MI

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
3351 CLAYSTONE ST SE, STE. 212, GRAND RAPIDS, MI 49546(616) 954-1992(616) 954-1998 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeanne L Stark Lmsw NPPES

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

JEANNE L STARK LMSW (NPI 1194886846) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801088180) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194886846
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJEANNE L STARKCredential: LMSW
Location Address3351 CLAYSTONE ST SE, STE. 212Grand Rapids, MI 49546-5781
Mailing Address4211 Parkway Pl SwGrandville, MI 49418-2695 · (616) 530-9011 · Fax (616) 530-9011
Phone(616) 954-1992
Fax(616) 954-1998
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1194886846 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 · 6801088180
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.
3351 CLAYSTONE ST SE, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Jeanne L Stark 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.

PECOS PAC ID3072667039
PECOS Enrollment IDI20090811000351
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 Jeanne Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services
7.0 mi
Social Worker
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 261 clinicians in this Medicare group
NPI 1922019157 (616) 455-5000

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC BOYER RN
Registered Nurse
3351 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 965-8200
GAYLE RAE ANDRUS MA LLP
Registered Nurse (Psychiatric/Mental Health)
3351 CLAYSTONE ST SE, STE 212
GRAND RAPIDS, MI 49546
Kent County (616) 954-1992
ALPHA LIFE, LLC
Home Health
3351 CLAYSTONE ST SE, SUITE 102
GRAND RAPIDS, MI 49546
Kent County (616) 499-2050
DANA M POST LLMSW
Social Worker (Clinical)
3351 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 954-1991
PATRICIA L TALBOTT MA,LPC,CAC-1,MSW
Social Worker
3351 CLAYSTONE ST SE, STE. 212
GRAND RAPIDS, MI 49546
Kent County (616) 954-1992
JAMES C WOOD LMSW, LMFT
Marriage & Family Therapist
3351 CLAYSTONE ST SE, STE 212
GRAND RAPIDS, MI 49546
Kent County (616) 954-1991
ELMER WILLIAM FOWLER JR. DO PL
Psychiatry & Neurology (Psychiatry)
3351 CLAYSTONE ST SE, SUITE 212
GRAND RAPIDS, MI 49546
Kent County (616) 954-1991
SALLY HARRETT MSW CSW
Social Worker
3351 CLAYSTONE ST SE, STE 212
GRAND RAPIDS, MI 49546
Kent County (616) 954-1992

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 Jeanne Stark's NPI number?

The NPI number for Jeanne Stark is 1194886846. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jeanne Stark located?

Jeanne Stark practices at 3351 Claystone St SE Ste. 212, Grand Rapids, MI 49546. The listed phone number is (616) 954-1992.

What is Jeanne Stark's specialty?

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

Is Jeanne Stark enrolled in Medicare?

Yes. Jeanne Stark 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 Jeanne Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Stark 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 Jeanne Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanne Stark 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 Jeanne Stark 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 Jeanne Stark was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.