Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy James Harlos, LLC

Individual provider Professional Counselor · NPI 1245074319

Timothy James Harlos, LLC is a Mental Health Counselor in Jenison, Michigan. Qualified in 2023, 3 years ago. Practices with Kristine Koetje MA, PC, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

1388 Baldwin St # A
Jenison, MI 49428-8937
Phone: (330) 671-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 546 76th St Sw, Byron Center, MI 49315-8307 — (616) 287-0667

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6451022950 (MI)

Record details

NPI number1245074319
Entity typeIndividual (Type 1)
GenderMale
Credentials LLC
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kristine Koetje Ma, Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jenison