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JACOB SCOTT VANDER KOLK LLPC
NPI 1982017117
Counselor - Professional in Grand Rapids, MI

Active since June 05, 2014
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503(616) 224-7617 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Scott Vander Kolk Llpc NPPES

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

JACOB SCOTT VANDER KOLK LLPC (NPI 1982017117) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014202) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1982017117
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB SCOTT VANDER KOLKCredential: LLPC
Location Address901 EASTERN AVE NEGrand Rapids, MI 49503-1201
Mailing Address8714 Honeybrook CtJenison, MI 49428-9551 · (616) 889-0297
Phone(616) 224-7617
Sole ProprietorNo
Enumeration DateJune 5, 2014
✔ NPI 1982017117 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 · 6401014202
901 EASTERN AVE NE, Grand Rapids, MI 49503
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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.

MRS. DANA KAY ANDERSON MA, LLPC
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 254-7741
BRITTANI SHAW
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 818-4803
MARY ROSE
Social Worker (School)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 375-6478
ELISE MARGARET MEYER LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-8020
MR. LLYOD MARK PETERSON LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
RACHEL KOWATCH LMSW
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
BETHANY CHRISTIAN SERVICES
Social Worker (Clinical)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 224-7617
ATHEAMA HOFF LLMSW
Counselor (Mental Health)
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 254-7749

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 Jacob Vander Kolk's NPI number?

The NPI number for Jacob Vander Kolk is 1982017117. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Jacob Vander Kolk located?

Jacob Vander Kolk practices at 901 Eastern Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 224-7617.

What is Jacob Vander Kolk's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Vander Kolk was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.