TIMOTHY JAMES HARLOS LLC
NPI 1245074319
Counselor - Professional in Jenison, MI

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment
1388 BALDWIN ST # A, JENISON, MI 49428(330) 671-9880 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy James Harlos Llc NPPES

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

TIMOTHY JAMES HARLOS LLC (NPI 1245074319) is an individual professional provider in Jenison, Michigan, licensed in Michigan (6451022950) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Byron Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245074319
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY JAMES HARLOSCredential: LLC
Location Address1388 BALDWIN ST # AJenison, MI 49428-8937
Mailing Address631 Evergreen StJenison, MI 49428-8315 · (330) 671-9880
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 24, 2024
NPPES CertifiedJune 22, 2024
NPI 1245074319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451022950
1388 BALDWIN ST # A, Jenison, MI 49428

Secondary Practice Location 1

Location 1546 76th St SWByron Center, MI 49315-8307 · Phone (616) 287-0667

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 and accepts Medicare assignment

Timothy James Harlos Llc 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 ID8921598707
PECOS Enrollment IDI20251110001459
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 Timothy Harlos's NPI number?

The NPI number for Timothy Harlos is 1245074319. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Timothy Harlos located?

Timothy Harlos practices at 1388 Baldwin St # A, Jenison, MI 49428. The listed phone number is (330) 671-9880.

What is Timothy Harlos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Timothy Harlos enrolled in Medicare?

Yes. Timothy Harlos 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.

What insurance does Timothy Harlos accept?

Health plans from McLaren Health Plan Community list Timothy Harlos 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 Timothy Harlos was last updated on June 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.