ROBERT W KOPFENSTEINER JR. LMSW
NPI 1386623643
Social Worker - Clinical in Grand Rapids, MI

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546(616) 942-8060(616) 942-6690 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert W Kopfensteiner Jr. Lmsw NPPES

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

ROBERT W KOPFENSTEINER JR. LMSW (NPI 1386623643) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801021028) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1386623643
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT W KOPFENSTEINER JR.Credential: LMSW
Location Address3330 CLAYSTONE ST SEGrand Rapids, MI 49546-7716
Mailing AddressPo Box 30516, Dept 6065Lansing, MI 48909-8016 · (616) 532-8000 · Fax (616) 532-7230
Fax(616) 942-6690
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJune 26, 2008
✔ NPI 1386623643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801021028
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3330 CLAYSTONE ST SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicare ID-Type Unspecified0P28140009MI

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

Robert W Kopfensteiner Jr. 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 ID5991711350
PECOS Enrollment IDI20060224000259
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 Reassignments

2

Medicare enrollment records show Robert Kopfensteiner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
2401 CAMELOT CT SE STE E
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
Foot and Ankle Surgery
1525 E BELTLINE AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 85 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Psychologist (Addiction (Substance Use Disorder))
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Physician Assistant
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Social Worker
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546

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 Robert Kopfensteiner's NPI number?

The NPI number for Robert Kopfensteiner is 1386623643. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Robert Kopfensteiner located?

Robert Kopfensteiner practices at 3330 Claystone St SE, Grand Rapids, MI 49546. The listed phone number is (616) 942-8060.

What is Robert Kopfensteiner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Robert Kopfensteiner enrolled in Medicare?

Yes. Robert Kopfensteiner 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 organizations bill Medicare for Robert Kopfensteiner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kopfensteiner reassigns Medicare benefits to 2 organizations: Claystone Clinical Associates Plc (Grand Rapids, MI) and Sheridan Community Hospital (Grand Rapids, MI). Each 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 Robert Kopfensteiner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Kopfensteiner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Robert Kopfensteiner 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 Robert Kopfensteiner was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.