JEANNA BOASE LPC
NPI 1225690704
Counselor in Kentwood, MI

Active since July 03, 2019PECOS Enrolled
1401 60TH ST SE STE B, KENTWOOD, MI 49508(616) 947-3159 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Jan 12, 2022, Jun 10, 2020 and 1 more (4 updates tracked since 2019).

About Jeanna Boase Lpc NPPES

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

JEANNA BOASE LPC (NPI 1225690704) is an individual counselor in Kentwood, Michigan, licensed in Michigan (6401015946) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1225690704
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJEANNA BOASECredential: LPC
Location Address1401 60TH ST SE STE BKentwood, MI 49508-7065
Mailing Address1401 60th St Se Ste BKentwood, MI 49508-7065 · (616) 947-3159
Sole ProprietorNo
Enumeration DateJuly 3, 2019
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1225690704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401015946
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1401 60TH ST SE STE B, Kentwood, MI 49508

Secondary Practice Location 1

Location 12422 Burton St SEGrand Rapids, MI 49546-4809 · Phone (616) 947-3159

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeanna Boase Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

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

Counselor
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Marriage & Family Therapist
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Counselor (Professional)
1401 60TH ST SE STE B
GRAND RAPIDS, MI 49508
Counselor (Mental Health)
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Counselor (Professional)
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Counselor (Mental Health)
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Counselor (Professional)
1401 60TH ST SE STE B
KENTWOOD, MI 49508
Counselor (Professional)
1401 60TH ST SE STE B
KENTWOOD, MI 49508

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 Jeanna Boase's NPI number?

The NPI number for Jeanna Boase is 1225690704. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Jeanna Boase located?

Jeanna Boase practices at 1401 60th St SE Ste B, Kentwood, MI 49508. The listed phone number is (616) 947-3159.

What is Jeanna Boase's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jeanna Boase enrolled in Medicare?

Yes. Jeanna Boase is registered in the Medicare PECOS enrollment system.

What insurance does Jeanna Boase accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jeanna Boase 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 Jeanna Boase was last updated on July 30, 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.