TIMOTHY JAMES HARLOS LLC
NPI 1245074319
Counselor - Professional in Jenison, MI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Harlos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Lake, MI 49456
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Timothy Harlos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Harlos reassigns Medicare benefits to Kristine Koetje Ma, PC (Spring Lake, 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 Timothy Harlos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Harlos 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 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 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.
# Timothy James Harlos, LLC · NPI 1245074319
Professional provider in Jenison, Michigan. Individual provider, active in the CMS NPPES registry since June 24, 2024.
## Identity
- **NPI:** 1245074319 (Entity type: Individual)
- **Enumerated:** June 24, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6451022950 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1388 BALDWIN ST # A, Jenison, MI 49428-8937
- **Phone:** (330) 671-9880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kristine Koetje Ma, PC (NPI 1316010770, Spring Lake, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245074319) · Data from the CMS NPPES public registry.