LIFE GUIDANCE SERVICES (NPI# 1336185032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336185032 |
| Entity Type | Organization |
| Organization Name | LIFE GUIDANCE SERVICES |
| Practice Address |
1400 Leonard St Ne Grand Rapids MI 49505-5515 |
| Mailing Address |
330 Eastern Ne Grand Rapids MI 49503 |
| Practice Telephone | 6169541992 |
| Practice Fax Number | 6169541998 |
| Mailing Telephone | 6167760891 |
| Mailing Fax Number | 6162330718 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | MR. DAN L FOGEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6169541992 |
| Authorized Official Credential | MA,LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1400 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936431 | Duane Matthew Duhon | Counselor | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2019-08-08 |
| 1568944635 | Tyler S Felty | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2018-09-05 |
| 1376066639 | Shari Mae Almanza | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2017-07-19 |
| 1366811549 | Susan Montroy | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2015-09-17 |
| 1740622802 | Cynthia Quintana-montenegro | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2013-07-17 |
| 1174861363 | Justin Albert Westerhof | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2013-01-22 |
| 1720340367 | Kathy A Carruthers | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2012-06-11 |
| 1629218698 | Trisha Marie Waun | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2009-03-03 |
| 1649379678 | Nanette June Kerwick | Social Worker | 1400 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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| 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.