JEAN MARIE HOLTHAUS LISW, LMSW
NPI 1992733182
Social Worker - Clinical in Grand Rapids, MI

Q: What is Jean Holthaus's NPI number?

The NPI number for Jean Holthaus is 1992733182. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Jean Holthaus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean Holthaus was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 559-5896(616) 455-5460 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Dec 4, 2020 (2 updates tracked since 2020).

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About Jean Marie Holthaus Lisw, Lmsw NPPES

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

JEAN MARIE HOLTHAUS LISW, LMSW (NPI 1992733182) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801097646) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1992733182

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJEAN MARIE HOLTHAUSCredential: LISW, LMSW

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 559-5896

Fax(616) 455-5460

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 28, 2006

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1992733182 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

Licenses✔ Licensed in MI · 6801097646✔ Licensed in IA · 2273

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 · License 2273 (IA)

300 68TH ST SE, Grand Rapids, MI 49548

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Secondary Practice Location 1

Location 13292 N Evergreen Dr NEGrand Rapids, MI 49525-9746 · Phone (616) 365-8920 · Fax (616) 365-8971

Other Identifiers 2

Medicaid0166090IA

Medicaid1992733182MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jean Marie Holthaus Lisw, 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.

PECOS PAC ID9335263946

PECOS Enrollment IDI20100907000391, I20200921001328

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.

Medicare Billing Reassignment

Medicare enrollment records show Jean Holthaus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services

Same address

Social Worker

300 68TH ST SE
Grand Rapids, MI 49548

Reassigned Medicare billing, Michigan and Iowa enrollments
Also billed through NPI 1326117805 (Iowa)
261 clinicians in this Medicare group

NPI 1922019157 (616) 455-5000

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 49548 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 20

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

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)