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STRICKLEN PSYCHOLOGY LLC
NPI 1871166595
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MI

Active since July 20, 2021
833 KENMOOR AVE SE STE A, GRAND RAPIDS, MI 49546(616) 551-4690(616) 965-3968 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stricklen Psychology Llc NPPES

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

STRICKLEN PSYCHOLOGY LLC (NPI 1871166595) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Michigan and active in the NPI registry since July 2021. The organization lists Jordan Daniel Stricklen, Owner, as its authorized official.

NPPES Registry Identity

NPI1871166595
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTRICKLEN PSYCHOLOGY LLC
Location Address833 KENMOOR AVE SE STE AGrand Rapids, MI 49546-2390
Mailing Address833 Kenmoor Ave Se Ste AGrand Rapids, MI 49546-2390 · (616) 401-6578 · Fax (616) 965-3968
Phone(616) 551-4690
Fax(616) 965-3968
Organization SubpartNo
Authorized OfficialJordan Daniel StricklenOwner · (616) 401-6578
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1871166595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
833 KENMOOR AVE SE STE A, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stricklen Psychology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stricklen Psychology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jordan Stricklen, PSYD
Clinical Psychologist
NPI 1639615321
833 KENMOOR AVE SE STE A
Grand Rapids, MI 49546
(616) 551-4690
✔ PECOS✔ Accepts MedicareSame address

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 Stricklen Psychology LLC's NPI number?

The NPI number for Stricklen Psychology LLC is 1871166595. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Stricklen Psychology LLC located?

Stricklen Psychology LLC is located at 833 Kenmoor Ave SE Ste A, Grand Rapids, MI 49546. The listed phone number is (616) 551-4690.

What is Stricklen Psychology LLC'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 Stricklen Psychology LLC enrolled in Medicare?

Yes. Stricklen Psychology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stricklen Psychology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stricklen Psychology LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stricklen Psychology LLC was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.