JOANNE LOUISE KOLEAN (PH.D.) – Psychologist, NPI 1154350643

JOANNE LOUISE KOLEAN (PH.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301009318 (MI). The NPI Number for JOANNE LOUISE KOLEAN (PH.D.) is 1154350643

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JOANNE LOUISE KOLEAN (PH.D.)
NPI
1154350643
Phone
(616) 455-5000
Address
300 68TH ST SE
Enumeration Date
30 June 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168053660
Graduation Year
1994 (32 years ago)
PAC ID
4284821018
Group Practice PAC ID
9234469255
Professional Enrollment ID
I20101206001290
Address ID
MI494172178GR600XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for JOANNE LOUISE KOLEAN (PH.D.)

  • Pine Rest Christian Mental Health Services, 300, 68th Street Southeast, Grand Rapids, Gaines Township, Kent County, Michigan, 49501, United States

    GRAND RAPIDS, MI 495486927

    Phone: (616) 455-5000

    Type: Mailing

  • 1150, East Sherman Boulevard, Norton Shores, Muskegon Township, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494441871

    Phone: (231) 733-8231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101206001290IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49548)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234469255View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I cross-check JOANNE LOUISE KOLEAN (PH.D.) using NPI 1154350643?
NPI 1154350643 belongs to JOANNE LOUISE KOLEAN (PH.D.); compare other details if you need extra assurance.
Is there an active status for JOANNE LOUISE KOLEAN (PH.D.)?
For scheduling context, JOANNE LOUISE KOLEAN (PH.D.) is shown as active in the registry.
What kind of doctor is JOANNE LOUISE KOLEAN (PH.D.)?
JOANNE LOUISE KOLEAN (PH.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JOANNE LOUISE KOLEAN (PH.D.)?
Directory geography for JOANNE LOUISE KOLEAN (PH.D.) centers on Grand Rapids, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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