| Cherry Street Health Services | |
|
550 Cherry St Se Grand Rapids MI 49503-4748 | |
| (616) 235-7289 | |
| (616) 235-0739 |
| Full Name | Cherry Street Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 Cherry St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tasha Blackmon (CEO) |
| Authorized Official Contact | 6169658215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Street Health Services 100 Cherry St Se Grand Rapids MI 49503-4526 Ph: (616) 235-7272 | Cherry Street Health Services 550 Cherry St Se Grand Rapids MI 49503-4748 Ph: (616) 235-7289 |
| NPI Number | 1558459164 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 6800707647 |
|---|---|
| Medicare Enrollment ID | O20040804000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558459164 | NPI | - | NPPES |
| Provider Name | Bradley D Riley |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1912988023 PECOS PAC ID: 4880587500 Enrollment ID: I20040205001199 |
| Provider Name | Nanette J Kerwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649379678 PECOS PAC ID: 4981697653 Enrollment ID: I20040407000855 |
| Provider Name | Bryant W Pierce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023060316 PECOS PAC ID: 9830189315 Enrollment ID: I20040517000240 |
| Provider Name | Elizabeth J Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316917875 PECOS PAC ID: 3274515051 Enrollment ID: I20040604000435 |
| Provider Name | Robert Shannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992790315 PECOS PAC ID: 0840262937 Enrollment ID: I20040810000135 |
| Provider Name | Carolyn M King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083783344 PECOS PAC ID: 9335118306 Enrollment ID: I20040927000774 |
| Provider Name | Rebecca A Vanvalkenburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083779185 PECOS PAC ID: 5294788188 Enrollment ID: I20050303000202 |
| Provider Name | Bruce H Baker |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1952377566 PECOS PAC ID: 2466340443 Enrollment ID: I20050907000583 |
| Provider Name | Rhonda L Mejeur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790738193 PECOS PAC ID: 4587668330 Enrollment ID: I20060908000353 |
| Provider Name | Mona K Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144272816 PECOS PAC ID: 0749285237 Enrollment ID: I20060915000109 |
| Provider Name | Stacia Lagarde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790871093 PECOS PAC ID: 4183621089 Enrollment ID: I20061108000154 |
| Provider Name | Jenny L Bush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699867895 PECOS PAC ID: 2567460637 Enrollment ID: I20061128000258 |
| Provider Name | Abha G Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255480976 PECOS PAC ID: 5799888020 Enrollment ID: I20070307000258 |
| Provider Name | Annette K Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457480436 PECOS PAC ID: 8123123718 Enrollment ID: I20070410000158 |
| Provider Name | John P Deveau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437170198 PECOS PAC ID: 4688779960 Enrollment ID: I20070416000061 |
| Provider Name | Kenneth S Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558378265 PECOS PAC ID: 1052410651 Enrollment ID: I20070622000204 |
| Provider Name | Eric K Van De Pol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205843125 PECOS PAC ID: 3274633508 Enrollment ID: I20070716000151 |
| Provider Name | Eric D Achtyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780665976 PECOS PAC ID: 0648362343 Enrollment ID: I20070827000376 |
| Provider Name | Monica L Steury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619196391 PECOS PAC ID: 8325113913 Enrollment ID: I20080815000498 |
| Provider Name | Terri L Rosel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326270760 PECOS PAC ID: 6002954542 Enrollment ID: I20091103000679 |
| Provider Name | Adam M Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124352687 PECOS PAC ID: 2163562406 Enrollment ID: I20100508000074 |
| Provider Name | Maribel Bates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083621882 PECOS PAC ID: 5799973095 Enrollment ID: I20110103000065 |
| Provider Name | Kristin Marie Stout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588722961 PECOS PAC ID: 6901999408 Enrollment ID: I20110107000485 |
| Provider Name | Andrew R Ramsahoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841223518 PECOS PAC ID: 7911188560 Enrollment ID: I20110302000248 |
| Provider Name | Meagan K Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770899429 PECOS PAC ID: 2961684840 Enrollment ID: I20110314000984 |
| Provider Name | Kathy Anne Myrkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780975268 PECOS PAC ID: 2860679867 Enrollment ID: I20110531000256 |
| Provider Name | Susan Orourke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790984664 PECOS PAC ID: 4183881402 Enrollment ID: I20120127000985 |
| Provider Name | Lavange E Barth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376739771 PECOS PAC ID: 1850554601 Enrollment ID: I20120515000520 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528283579 PECOS PAC ID: 2769645159 Enrollment ID: I20120522001227 |
| Provider Name | Stephanie L Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982832226 PECOS PAC ID: 2062678188 Enrollment ID: I20120718000214 |
| Provider Name | Jennifer C Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275880767 PECOS PAC ID: 7416107867 Enrollment ID: I20121022000351 |
| Provider Name | Charles David Draznin |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1740405794 PECOS PAC ID: 6800080094 Enrollment ID: I20130219000021 |
| Provider Name | Kevin M Bos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982046504 PECOS PAC ID: 2365676798 Enrollment ID: I20131017001547 |
| Provider Name | Annah Fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578841094 PECOS PAC ID: 0648443093 Enrollment ID: I20140106000923 |
| Provider Name | Theodore W Liao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184937013 PECOS PAC ID: 3577791979 Enrollment ID: I20140109001757 |
| Provider Name | Janet Myung Hur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336465475 PECOS PAC ID: 8527184365 Enrollment ID: I20150818005250 |
| Provider Name | Robert E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679816359 PECOS PAC ID: 1557677069 Enrollment ID: I20150828001681 |
| Provider Name | Steven Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710386826 PECOS PAC ID: 0345557112 Enrollment ID: I20150911001303 |
| Provider Name | Stephen C Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331535 PECOS PAC ID: 7719297894 Enrollment ID: I20151102000231 |
| Provider Name | Nicole L Hidalgo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881940716 PECOS PAC ID: 9335432921 Enrollment ID: I20160719002310 |
| Provider Name | Rita Mae Dekker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588629 PECOS PAC ID: 6103119524 Enrollment ID: I20160722001322 |
| Provider Name | Elizabeth Schut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366883522 PECOS PAC ID: 2668765918 Enrollment ID: I20160725000081 |
| Provider Name | Clara Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265846521 PECOS PAC ID: 1951696756 Enrollment ID: I20160818000077 |
| Provider Name | Nicole Renee Abbgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144774019 PECOS PAC ID: 6507152105 Enrollment ID: I20160908000579 |
| Provider Name | Erica Marie Tavares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578977211 PECOS PAC ID: 3779709282 Enrollment ID: I20161013002188 |
| Provider Name | Amy M Hoogstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902348220 PECOS PAC ID: 6103101472 Enrollment ID: I20170329000484 |
| Provider Name | Maram Hekhuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417358409 PECOS PAC ID: 9133406176 Enrollment ID: I20170501001147 |
| Provider Name | Candis Hyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386021699 PECOS PAC ID: 6507134087 Enrollment ID: I20170626001423 |
| Provider Name | Brandi Dora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558891127 PECOS PAC ID: 1052682218 Enrollment ID: I20170807000419 |
| Provider Name | Kaitlin Hendriksma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952810830 PECOS PAC ID: 6608142609 Enrollment ID: I20171018003115 |
| Provider Name | Elizabeth O Alvesteffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013454305 PECOS PAC ID: 2062788318 Enrollment ID: I20171101000752 |
| Provider Name | Kelly L Munn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225421035 PECOS PAC ID: 7214293117 Enrollment ID: I20171109000548 |
| Provider Name | Tricia S Turpen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457720757 PECOS PAC ID: 1355608837 Enrollment ID: I20171208002097 |
| Provider Name | Anne Katherine Lewandoski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073949095 PECOS PAC ID: 1355578980 Enrollment ID: I20171213000478 |
| Provider Name | Lillia B Pimpleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235508433 PECOS PAC ID: 4385902634 Enrollment ID: I20171214003090 |
| Provider Name | Daniel L Overbeek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336529585 PECOS PAC ID: 2062726532 Enrollment ID: I20180709001663 |
| Provider Name | Amanda P Poisson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720444391 PECOS PAC ID: 5991053597 Enrollment ID: I20180730001008 |
| Provider Name | Steven J Bartek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154735504 PECOS PAC ID: 7416267562 Enrollment ID: I20180807003247 |
| Provider Name | Rebecca F Lambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679051841 PECOS PAC ID: 4789933862 Enrollment ID: I20180822003457 |
| Provider Name | Jason A Storm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487038741 PECOS PAC ID: 6103176342 Enrollment ID: I20180910000032 |
| Provider Name | Kacie Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144598053 PECOS PAC ID: 9335493600 Enrollment ID: I20181127000371 |
| Provider Name | Pamela Shoemaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831490556 PECOS PAC ID: 8729320007 Enrollment ID: I20190507002426 |
| Provider Name | Maria E Sicco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659931020 PECOS PAC ID: 6305171208 Enrollment ID: I20190715003175 |
| Provider Name | Trisha M Waun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629218698 PECOS PAC ID: 7315273398 Enrollment ID: I20190729003380 |
| Provider Name | David J Hefferan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124552278 PECOS PAC ID: 9234466442 Enrollment ID: I20190812000807 |
| Provider Name | Mandi R Hyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093360158 PECOS PAC ID: 6507194958 Enrollment ID: I20190822001650 |
| Provider Name | Rachel Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025888 PECOS PAC ID: 1153651153 Enrollment ID: I20190917003766 |
| Provider Name | Andrea J Kraker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447509856 PECOS PAC ID: 1052641057 Enrollment ID: I20190917003810 |
| Provider Name | Karli R Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861565 PECOS PAC ID: 1658601653 Enrollment ID: I20190917003990 |
| Provider Name | Kristin J Kuiper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711457 PECOS PAC ID: 1951633882 Enrollment ID: I20191026000042 |
| Provider Name | Alex Lahood |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043694854 PECOS PAC ID: 6103106406 Enrollment ID: I20200304001338 |
| Provider Name | Kellee B Cusick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689193914 PECOS PAC ID: 9032547302 Enrollment ID: I20200319002546 |
| Provider Name | Shari Almanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376066639 PECOS PAC ID: 6406286053 Enrollment ID: I20200422000597 |
| Provider Name | Dylan R Streb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619404613 PECOS PAC ID: 7810266889 Enrollment ID: I20200513002357 |
| Provider Name | Rachael M Kohler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598274573 PECOS PAC ID: 5395163893 Enrollment ID: I20200915003459 |
| Provider Name | Kaley Suzanne Fairbairn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396286258 PECOS PAC ID: 9133530306 Enrollment ID: I20201118002327 |
| Provider Name | Perla Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659805802 PECOS PAC ID: 3577974732 Enrollment ID: I20201119003378 |
| Provider Name | Carly R Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689066136 PECOS PAC ID: 8123439080 Enrollment ID: I20201124003348 |
| Provider Name | Jenna L Schlaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043738396 PECOS PAC ID: 1759795701 Enrollment ID: I20210202002842 |
| Provider Name | Amelia R Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050252 PECOS PAC ID: 9436564788 Enrollment ID: I20210218000616 |
| Provider Name | Megan D Price |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831791359 PECOS PAC ID: 2567877863 Enrollment ID: I20210218002670 |
| Provider Name | Joel C. Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447714845 PECOS PAC ID: 1355758939 Enrollment ID: I20210326000647 |
| Provider Name | Jerrica Kallio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821577479 PECOS PAC ID: 1951719327 Enrollment ID: I20210423001354 |
| Provider Name | Jessica S Heacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770157018 PECOS PAC ID: 2062812993 Enrollment ID: I20210615002185 |
| Provider Name | Kaitlyn M Couturier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578182788 PECOS PAC ID: 4587054705 Enrollment ID: I20211202001190 |
| Provider Name | Javier T Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952893588 PECOS PAC ID: 0345631248 Enrollment ID: I20220104001843 |
| Provider Name | Karin S Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205177367 PECOS PAC ID: 7416349147 Enrollment ID: I20220110000796 |
| Provider Name | Stephanie Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133086 PECOS PAC ID: 6709279557 Enrollment ID: I20220131002075 |
| Provider Name | Heidi J Parent-leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578942959 PECOS PAC ID: 3274926043 Enrollment ID: I20220201000236 |
| Provider Name | Jodi Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942969043 PECOS PAC ID: 3577940105 Enrollment ID: I20220519001530 |
| Provider Name | Ellen Mbungu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265076798 PECOS PAC ID: 5294113510 Enrollment ID: I20220527000629 |
| Provider Name | Kelsey Whitcomb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326711615 PECOS PAC ID: 9335529338 Enrollment ID: I20220708000818 |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20220809000274 |
| Provider Name | Anna R Blauw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215442884 PECOS PAC ID: 7113287087 Enrollment ID: I20220824001162 |
| Provider Name | Allison E Richardson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497483002 PECOS PAC ID: 5395120430 Enrollment ID: I20220909002779 |
| Provider Name | Joanne P Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295083152 PECOS PAC ID: 0042696437 Enrollment ID: I20221010000251 |
| Provider Name | Devan Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902467061 PECOS PAC ID: 0244616514 Enrollment ID: I20221011000653 |
| Provider Name | Lisa N Boczar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043927635 PECOS PAC ID: 8527437326 Enrollment ID: I20221219001093 |
| Provider Name | Cherie E Ellison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750028445 PECOS PAC ID: 5395116909 Enrollment ID: I20230118001987 |
| Provider Name | Evan H Pellow-robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821608795 PECOS PAC ID: 2163896168 Enrollment ID: I20230314001912 |
| Provider Name | Katarina Oblinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417481490 PECOS PAC ID: 6305210295 Enrollment ID: I20230315002735 |
| Provider Name | Tyler L Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679295539 PECOS PAC ID: 1759747264 Enrollment ID: I20230525000223 |
| Provider Name | Areli Mayorga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447942701 PECOS PAC ID: 8123486750 Enrollment ID: I20230614001327 |
| Provider Name | Hanna J Grabowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861189359 PECOS PAC ID: 3779941620 Enrollment ID: I20230625000007 |
| Provider Name | Cole Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023499951 PECOS PAC ID: 5395047484 Enrollment ID: I20230627000143 |
| Provider Name | Jasmin Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902486855 PECOS PAC ID: 4587024591 Enrollment ID: I20230721000604 |
| Provider Name | Madeleine E Seidel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669150454 PECOS PAC ID: 6507228236 Enrollment ID: I20230814000156 |
| Provider Name | Karlyn M Markaity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144977240 PECOS PAC ID: 6406218817 Enrollment ID: I20230817000678 |
| Provider Name | Calee M Dieleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265988901 PECOS PAC ID: 2466807854 Enrollment ID: I20231004002081 |
| Provider Name | Geoffrey Alan Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275043994 PECOS PAC ID: 1052760956 Enrollment ID: I20231216000364 |
| Provider Name | K'quiana Griffin-knowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679152466 PECOS PAC ID: 1254781172 Enrollment ID: I20231219000799 |
| Provider Name | Gregory S Kaiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083042881 PECOS PAC ID: 0840640769 Enrollment ID: I20231219000940 |
| Provider Name | Ashley Constantine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235645417 PECOS PAC ID: 7214387166 Enrollment ID: I20231219001767 |
| Provider Name | Melissa L Meengs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033711965 PECOS PAC ID: 4486098670 Enrollment ID: I20240215001999 |
| Provider Name | Kari L Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508305996 PECOS PAC ID: 1951745157 Enrollment ID: I20240215002335 |
| Provider Name | Linda G Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235223827 PECOS PAC ID: 7719321926 Enrollment ID: I20240215002547 |
| Provider Name | Duane Duhon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750936431 PECOS PAC ID: 6507200763 Enrollment ID: I20240215004261 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |