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OTTAWA COUNTY COMMUNITY MENTAL HEALTH
NPI 1619932381
Clinic/Center - Mental Health (Including Community Mental Health Center) in Holland, MI

Active since April 18, 2006
12265 JAMES ST, HOLLAND, MI 49424(616) 393-5600(616) 393-5687 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ottawa County Community Mental Health NPPES

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

OTTAWA COUNTY COMMUNITY MENTAL HEALTH (NPI 1619932381) is a healthcare organization registered as a mental health (including community mental health center) in Holland, Michigan and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Holland and lists Lynne Doyle, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619932381
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF OTTAWA
Location Address12265 JAMES STHolland, MI 49424-8613
Mailing Address12265 James StHolland, MI 49424-8613 · (616) 393-5600 · Fax (616) 393-5687
Phone(616) 393-5600
Fax(616) 393-5687
Organization SubpartNo
Authorized OfficialLynne DoyleExecutive Director · (616) 494-5421
Enumeration DateApril 18, 2006
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1619932381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
12265 JAMES ST, Holland, MI 49424
Open in Google Maps ↗

Other Names 1

Doing Business AsOttawa County Community Mental Health

Secondary Practice Location 1

Location 112263 James StHolland, MI 49424-8613 · Phone (616) 392-8236

Other Identifiers 5

Medicaid104948647MI
Medicaid174454610MI
Medicaid104359998MI
Medicaid103234489MI
Medicaid774350428MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ottawa County Community Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Ottawa County Community Mental Health, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker17
Nurse Practitioner7
Psychiatry2
Occupational Therapist in Private Practice1
Psychologist Billing Independently1

Nearest to this location (20)

See all 28
Clark Cunningham-White
Clinical Social Worker
NPI 1609525039
12265 JAMES ST
Holland, MI 49424
(616) 392-1873
✔ PECOS✔ Accepts MedicareSame address
Christine Keener, LMSW
Clinical Social Worker
NPI 1710296066
12265 JAMES ST
Holland, MI 49424
(616) 494-5560
✔ PECOS✔ Accepts MedicareSame address
Erika Mccombs, LMSW
Clinical Social Worker
NPI 1639411341
12265 JAMES ST
Holland, MI 49424
(616) 494-5698
✔ PECOS✔ Accepts MedicareSame address
Keith Morley, LMSW
Clinical Social Worker
NPI 1336481118
12265 JAMES ST
Holland, MI 49424
(616) 494-5698
✔ PECOS✔ Accepts MedicareSame address
Carrie Pernesky, LMSW
Clinical Social Worker
NPI 1164855946
12265 JAMES ST
Holland, MI 49424
(616) 393-5600
✔ PECOS✔ Accepts MedicareSame address
Denise Radakovitz, MA, LLP
Psychologist Billing Independently
NPI 1417461104
12265 JAMES ST
Holland, MI 49424
(616) 392-1873
Same address
Hope Tinholt
Clinical Social Worker
NPI 1336643675
12265 JAMES ST
Holland, MI 49424
(616) 414-2024
✔ PECOSSame address
Susan Weaver, OTR
Occupational Therapist in Private Practice
NPI 1982921573
12265 JAMES ST
Holland, MI 49424
(616) 494-5461
✔ Accepts MedicareSame address
Sandra Castle, LLP
Clinical Social Worker
NPI 1174848899
12265 JAMES ST
Holland, MI 49424
(616) 494-5475
✔ PECOS✔ Accepts MedicareSame address
Rhonda Rutan, LLMSW
Clinical Social Worker
NPI 1003158882
12265 JAMES ST
Holland, MI 49424
(616) 494-5698
✔ PECOS✔ Accepts MedicareSame address
Joel Ebbers, LLMSW
Clinical Social Worker
NPI 1598918534
499 CENTURY LN STE 50
Holland, MI 49423
(616) 566-0588
✔ PECOS✔ Accepts Medicare2.3 mi
Nicole Bowyer
Clinical Social Worker
NPI 1457884645
1111 FULTON AVE
Grand Haven, MI 49417
(616) 842-5350
✔ PECOS✔ Accepts Medicare19 mi
Marlise Van Zytveld, LMSW
Clinical Social Worker
NPI 1235152471
3800 LAKE MICHIGAN DR NW STE 103
Grand Rapids, MI 49534
(616) 805-3660
✔ PECOS✔ Accepts Medicare20 mi
Kyle Klaasen
Clinical Social Worker
NPI 1366957573
1939 S DIVISION AVE.
Grand Rapids, MI 49507
(616) 247-3815
✔ PECOS✔ Accepts Medicare23 mi
Lisa Pline, LMSW, CAADC, ADS
Clinical Social Worker
NPI 1386242345
540 JENNER DR
Allegan, MI 49010
(269) 673-6617
✔ PECOS✔ Accepts Medicare23 mi
Rachel Owen, PMHNP
Nurse Practitioner
NPI 1669025888
100 CHERRY ST SE
Grand Rapids, MI 49503
(616) 965-8200
✔ PECOS✔ Accepts Medicare24 mi
Erica Gudelsky, NP
Nurse Practitioner
NPI 1780351635
35 MICHIGAN ST NE STE 5201
Grand Rapids, MI 49503
(616) 267-2830
✔ PECOS✔ Accepts Medicare24 mi
Ann Cudney, NP
Nurse Practitioner
NPI 1396384426
1131 IONIA AVE NW
Grand Rapids, MI 49503
(616) 259-7900
✔ PECOS✔ Accepts Medicare24 mi
Leah Magnuson, NP
Nurse Practitioner
NPI 1700322245
1131 IONIA AVE NW
Grand Rapids, MI 49503
(616) 259-7900
✔ PECOS✔ Accepts Medicare24 mi
Autumn Putnam
Clinical Social Worker
NPI 1568084226
1215 FULTON ST E
Grand Rapids, MI 49503
(616) 742-0351
✔ PECOS✔ Accepts Medicare25 mi
See all 28 clinicians

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 County Of Ottawa's NPI number?

The NPI number for County Of Ottawa is 1619932381. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Ottawa County Community Mental Health.

Where is County Of Ottawa located?

County Of Ottawa is located at 12265 James St, Holland, MI 49424. The listed phone number is (616) 393-5600.

What is County Of Ottawa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is County Of Ottawa enrolled in Medicare?

Yes. County Of Ottawa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Ottawa?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to County Of Ottawa. A 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 the clinician's services. The largest specialties are Clinical Social Worker (17), Nurse Practitioner (7) and Psychiatry (2). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Ottawa accept?

Health plans from Blue Care Network of Michigan and McLaren Health Plan Community list County Of Ottawa 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 County Of Ottawa was last updated on December 18, 2023. 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.