BETH ANNE CONRAD (NPI# 1730795972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730795972 |
| Entity Type | Individual |
| Full Name | BETH ANNE CONRAD |
| Practice Address |
1115 Ball Ave Ne Bldg A Grand Rapids MI 49505-5904 |
| Mailing Address |
2096 N State Rd Lot 98 Ionia MI 48846-9563 |
| Practice Telephone | 6164567775 |
| Mailing Telephone | 5177324260 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social 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 |
| 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 |
| 1588280044 | Eliza Glen Beird | Peer Specialist | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-06-22 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1528692779 | Tracy Norcross | Counselor | 2430 Camelot Ct Se, Grand Rapids, MI 49546-6001 | 2020-02-26 |
| 1487202743 | New Beginnings Counseling LLC | Counselor | 104 Ne 3rd St # 200h, Grand Rapids, MN 55744-2869 | 2019-08-29 |
| 1922652098 | Jason Powers | Counselor | 2033 43rd St Se Apt V8, Grand Rapids, MI 49508-8734 | 2019-07-28 |
| 1588225882 | Hope Restored Counseling Center LLC | Counselor | 2180 44th St Se Ste 302, Grand Rapids, MI 49508-5323 | 2019-06-26 |
| 1164089884 | Savanna Marie Vanderberg | Counselor | 1131 Worden St Se, Grand Rapids, MI 49507-1472 | 2019-05-29 |
| 1609432996 | Robb Kornoelje | Counselor | 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503-1891 | 2019-05-13 |
| 1316423841 | Lorie Tensen | Counselor | 456 College Ave Se Apt 1, Grand Rapids, MI 49503-5373 | 2018-07-18 |
| 1548750524 | Katelyn Cable Ma LLP | Counselor | 5001 Plainfield Ave Se, Suite B, Grand Rapids, MI 49525-9349 | 2018-05-15 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on BETH ANNE CONRAD.
| 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.