JHENNA JAMAL VANTIMMEREN
NPI 1659097038
Social Worker - Clinical in Grand Rapids, MI

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Oct 17, 2022 (2 updates tracked since 2022).

About Jhenna Jamal Vantimmeren NPPES

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

JHENNA JAMAL VANTIMMEREN (NPI 1659097038) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801115624) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659097038
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJHENNA JAMAL VANTIMMEREN
Location Address710 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-2379
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 17, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1659097038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801115624
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.
Also ListedSocial WorkerTaxonomy 104100000X
710 KENMOOR AVE SE STE 100, 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

Jhenna Jamal Vantimmeren 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 ID6901271410
PECOS Enrollment IDI20230417000280
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.

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 9

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

Pharmacy (Community/Retail Pharmacy)
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Nurse Practitioner
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Social Worker
710 KENMOOR AVE SE STE 100
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 Jhenna Vantimmeren's NPI number?

The NPI number for Jhenna Vantimmeren is 1659097038. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Jhenna Vantimmeren located?

Jhenna Vantimmeren practices at 710 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (855) 284-7483.

What is Jhenna Vantimmeren's specialty?

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

Is Jhenna Vantimmeren enrolled in Medicare?

Yes. Jhenna Vantimmeren 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 Jhenna Vantimmeren accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Jhenna Vantimmeren 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 Jhenna Vantimmeren was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.