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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1115 BALL AVE NE BLDG A |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49505-5904 |
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 |
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 | 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 |
---|---|---|---|---|
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 |
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.