ELIZA GLEN BEIRD


Address: 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904
Phone: 6164567775

ELIZA GLEN BEIRD (NPI# 1588280044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588280044
Entity Type Individual
Full Name ELIZA GLEN BEIRD
Practice Address 1115 Ball Ave Ne Bldg A
Grand Rapids
MI 49505-5904
Mailing Address 194 W 11th St
Holland
MI 49423-3208
Practice Telephone 6164567775
Practice Fax Number 6167742044
Mailing Telephone 6165667326
Enumeration Date 2020-06-22
Last Update Date 2020-06-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1115 BALL AVE NE BLDG A
City GRAND RAPIDS
State MI
Zip Code 49505-5904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093943169 Joshua Colby Counselor 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2009-06-29
1730795972 Beth Anne Conrad Counselor 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-09-22
1043824527 Alissa Langan Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-09-02
1780297515 Ryan Frederick Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-08-31
1679185425 Brenda Byers Counselor 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-08-21
1669096046 Giovanni Hernandez Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-06-02
1710501366 Katlyn Johns Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2020-05-29
1073150223 Hannah Hormann Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2019-12-06
1528611316 Emily Averton Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2019-07-20
1720630288 Justin Noble Brockschmidt Social Worker 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 2019-07-15
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1225577232 Mary Bouwhuis Peer Specialist 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 2017-02-23
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49505

Improve Information

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Dataset Information

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.

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