RAELYNN JIMENEZ
NPI 1649761123
Counselor - Professional in Grand Rapids, MI

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
2020 RAYBROOK ST SE, GRAND RAPIDS, MI 49546(616) 202-4444(517) 323-9531 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raelynn Jimenez NPPES

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

RAELYNN JIMENEZ (NPI 1649761123) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401016655) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649761123
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRAELYNN JIMENEZ
Location Address2020 RAYBROOK ST SEGrand Rapids, MI 49546
Mailing Address2020 Raybrook St SeGrand Rapids, MI 49546-7717 · (616) 202-4444 · Fax (517) 323-9531
Fax(517) 323-9531
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 21, 2018
Last NPPES UpdateMay 22, 2018
NPI 1649761123 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 · 6401016655
2020 RAYBROOK ST SE, Grand Rapids, MI 49546

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

Raelynn Jimenez 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 ID2961939764
PECOS Enrollment IDI20241218000329
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 20

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

Counselor
2020 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
2020 RAYBROOK ST SE, SUITE 203
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
2020 RAYBROOK ST SE, SUITE 203
GRAND RAPIDS, MI 49546
Counselor (Professional)
2020 RAYBROOK ST SE, SUITE 303
GRAND RAPIDS, MI 49546
Counselor (Professional)
2020 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Social Worker
2020 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Counselor (Professional)
2020 RAYBROOK ST SE
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
2020 RAYBROOK ST SE, SUITE 306
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 Raelynn Jimenez's NPI number?

The NPI number for Raelynn Jimenez is 1649761123. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Raelynn Jimenez located?

Raelynn Jimenez practices at 2020 Raybrook St SE, Grand Rapids, MI 49546. The listed phone number is (616) 202-4444.

What is Raelynn Jimenez's specialty?

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

Is Raelynn Jimenez enrolled in Medicare?

Yes. Raelynn Jimenez 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 Raelynn Jimenez accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Raelynn Jimenez 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 Raelynn Jimenez was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.