JUDY LYN JENNE MA, LLPC
NPI 1972286136
Counselor - Mental Health in Grand Rapids, MI
About Judy Lyn Jenne Ma, Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY LYN JENNE MA, LLPC (NPI 1972286136) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6451017415) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Judy Lyn Jenne Ma, Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Judy Jenne's NPI number?
The NPI number for Judy Jenne is 1972286136. It was assigned to this individual provider in the NPPES registry on August 14, 2023.
Where is Judy Jenne located?
Judy Jenne practices at 5020 E Beltline Ave NE Ste 202, Grand Rapids, MI 49525. The listed phone number is (616) 439-1866.
What is Judy Jenne's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Judy Jenne enrolled in Medicare?
Yes. Judy Jenne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Judy Jenne was last updated on August 14, 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.
# Judy Lyn Jenne, MA, LLPC · NPI 1972286136
Mental Health provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 14, 2023.
## Identity
- **NPI:** 1972286136 (Entity type: Individual)
- **Enumerated:** August 14, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6451017415 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5020 E BELTLINE AVE NE STE 202, Grand Rapids, MI 49525-6869
- **Phone:** (616) 439-1866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972286136) · Data from the CMS NPPES public registry.