MARY BOUWHUIS (NPI# 1225577232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225577232 |
| Entity Type | Individual |
| Full Name | MARY BOUWHUIS |
| Credential | CPSS |
| Practice Address |
1131 Ionia Ave Nw Grand Rapids MI 49503-1020 |
| Practice Telephone | 6162597900 |
| Practice Fax Number | 6162597909 |
| Mailing Telephone | 6162597900 |
| Mailing Fax Number | 6162597909 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1131 IONIA AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1972122182 | Zachary Stepanovich | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-09 |
| 1811526429 | Olivia Hoffmeyer | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-06 |
| 1396384426 | Ann Cudney | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-01-07 |
| 1346886546 | Kanani Grover | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-11-22 |
| 1992353809 | Nathan Huyck | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-09-04 |
| 1245891217 | Jason Brittain | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-06-21 |
| 1861058273 | Jennifer Wilssens | Student in an Organized Health Care Education/Training Program | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-05-13 |
| 1295399749 | Emily Marie Stark | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-04-30 |
| 1235614702 | Glenda Thompson | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280044 | Eliza Glen Beird | Peer Specialist | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-06-22 |
| 1669097945 | Kevin Ryan Beedon | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-11 |
| 1376179325 | Patricia Kregg | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-03-20 |
| 1063057248 | Janelle Nichole Vaness | Peer Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-11-12 |
| 1881151397 | Lindsay Arambula | Peer Specialist | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-02-21 |
| 1407321128 | Jami Weller | Peer Specialist | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2018-10-09 |
| 1144712118 | Carrie Anne Ross | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-05 |
| 1083106173 | Erica L Hernly | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-04 |
| 1376035477 | Amanda Kathryn Ziolkowski | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-04 |
| 1104336759 | Lindsay Lee Belcastro | Peer Specialist | 1939 S Division Ave., Grand Rapids, MI 49507 | 2017-10-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MARY BOUWHUIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.