SHELBY LYNN KISER (NPI# 1922651769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922651769 |
| Entity Type | Individual |
| Full Name | SHELBY LYNN KISER |
| Credential | LLMSW |
| Practice Address |
40 Jefferson Ave Se Grand Rapids MI 49503-4304 |
| Practice Telephone | 6164561443 |
| Practice Fax Number | 6167326392 |
| Mailing Telephone | 6164561443 |
| Mailing Fax Number | 6167326392 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MI | Agencies |
| Street Address |
40 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588684252 | Margaret J Devries | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2006-07-19 |
| 1477152262 | Krishanda Marie Mckeown | Registered Nurse | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-10-22 |
| 1427663962 | Jennifer Lynn Reygaert | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-09-11 |
| 1164061073 | Tamara T Jackson | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-12-26 |
| 1760023063 | Kirk W Narmore | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-10-08 |
| 1477109577 | Elizabeth Virginia Chipman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-08-14 |
| 1720631575 | Katy Boles Chapman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-07-22 |
| 1285287128 | Ann Marie Bauman | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2019-07-19 |
| 1235627043 | Valerie Young | Counselor | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2018-04-26 |
| 1841703600 | Heather L Wynia | Social Worker | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2017-11-14 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013487990 | Compass Behavioral Health LLC | Community/Behavioral Health | 2214 Norway St, Grand Rapids, MN 55744-9654 | 2018-12-04 |
| 1972041721 | Community Recovery Counseling Center, Pllc | Community/Behavioral Health | 1975 Jefferson Ave Se, Grand Rapids, MI 49507-2511 | 2017-02-01 |
| 1275079923 | Kool Counseling, LLC | Community/Behavioral Health | 2335 Burton St Se, Suite 130, Grand Rapids, MI 49506-4669 | 2017-01-18 |
| 1700253895 | Living Well Recreation Therapy | Community/Behavioral Health | 1351 Sherman St Se, Grand Rapids, MI 49506-2613 | 2015-08-25 |
| 1699157677 | First Call for Help of Itasca County | Community/Behavioral Health | 1007 Nw 4th St, Grand Rapids, MN 55744-2203 | 2015-06-25 |
| 1417355322 | Melita Travis Johnson, Lmsw, Ccdp | Community/Behavioral Health | 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI 49546-8602 | 2014-12-09 |
| 1093134926 | J Hill Psychological Services L.l.c | Community/Behavioral Health | 201 Nw 4th St Ste 7, Grand Rapids, MN 55744-2753 | 2014-04-08 |
| 1457774242 | The Asian Center | Community/Behavioral Health | 4040 Fulton St E, Grand Rapids, MI 49546-1352 | 2014-01-29 |
| 1083059141 | Joyce Lenise Williams | Community/Behavioral Health | 1440 Fuller Ave Se, Grand Rapids, MI 49507-2191 | 2013-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.