A PLACE FOR JUST US COUNSELING — NPI 1649739178 (Licensed & Credentialed Social Worker in MUSKEGON, MI)

CMS-1500 Box 24J / 33a • NPI

1649739178

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

104100000X

Licensed & Credentialed Social Worker

Box 32 Service Location & ZIP+4

1476 W SHERMAN BLVD, MUSKEGON, MI, 49441-3541

✓ 9-Digit EDI 837 ZIP+4 (49441-3541)

Practice Phone & Referral Fax

(616) 537-2401

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1649739178 (A PLACE FOR JUST US COUNSELING) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1649739178` (NPI-2 Organization / Facility)
Provider / Legal Name	A PLACE FOR JUST US COUNSELING
Plain-English Specialty	Licensed & Credentialed Social Worker NUCC Code: `104100000X` (Social Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1476 W SHERMAN BLVD, MUSKEGON, MI, 49441-3541
Practice Telephone / Fax	Tel: (616) 537-2401
Administrative Mailing Address	1476 W SHERMAN BLVD, MUSKEGON, MI, 49441-3541
Enumeration & Last Sync	Enumerated: 2019-03-14 \| CMS Record Updated: 2021-09-10
Authorized Official	SHIJUAN KELLY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1476 W SHERMAN BLVD, MUSKEGON, MI, 49441-3541

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Plain-English Taxonomy & CMS Crosswalk (104100000X)

What Does Taxonomy Code 104100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A PLACE FOR JUST US COUNSELING)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A PLACE FOR JUST US COUNSELING (NPI #1649739178)