MR. JACQUES DEWAYNE GREEN LMSW
NPI 1841482791
Social Worker - Clinical in Grand Rapids, MI
About Mr. Jacques Dewayne Green Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACQUES DEWAYNE GREEN LMSW (NPI 1841482791) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801089203) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Jacques Dewayne Green 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacques Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 287 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 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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 Jacques Green's NPI number?
The NPI number for Jacques Green is 1841482791. It was assigned to this individual provider in the NPPES registry on August 15, 2007.
Where is Jacques Green located?
Jacques Green practices at 359 Division Ave S, Grand Rapids, MI 49503. The listed phone number is (616) 685-3800.
What is Jacques Green's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jacques Green enrolled in Medicare?
Yes. Jacques Green 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 Jacques Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacques Green reassigns Medicare benefits to 2 organizations: Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI) and Counseling Center Of West Michigan, LLC (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 Jacques Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacques Green 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 1 other insurer list Jacques Green 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 Jacques Green was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Jacques Dewayne Green, LMSW · NPI 1841482791
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 15, 2007.
## Identity
- **NPI:** 1841482791 (Entity type: Individual)
- **Enumerated:** August 15, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801089203 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 359 DIVISION AVE S, Grand Rapids, MI 49503-4537
- **Phone:** (616) 685-3800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advantage Health/Saint Mary's Medical Group (NPI 1457863565, Grand Rapids, MI); Counseling Center Of West Michigan, LLC (NPI 1437610730, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1841482791) · Data from the CMS NPPES public registry.