Organization Active NPI

Reclaim Life Therapy PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1003282724
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092199 Issued in MI
Legal business name
RECLAIM LIFE THERAPY PLLC
Practice address
800 Monroe Ave NW Ste 308
Grand Rapids, MI 49503-1451
Phone
(616) 309-0107
Fax
(616) 825-6185
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl L Dudgeon, LMSWNPI 1235521063
Title
Therapist/Owner
Phone
(616) 309-0107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801092199 MI Primary

Addresses

Primary practice location

800 Monroe Ave NW Ste 308
Grand Rapids, MI 49503-1451

Mailing address

800 Monroe Ave NW Ste 308
Grand Rapids, MI 49503-1451
Phone (616) 309-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827001488 MI Part B Supplier - Clinic/Group Practice 6305152919 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI; Jenison, MI

National Provider Directory

National Provider Directory

Locations

800 Monroe Ave NW
Ste 300
Grand Rapids, MI 49503
Phone (616) 309-0107

6504 28th St SE
Grand Rapids, MI 49546
Phone (616) 309-0107

800 Monroe Ave NW
Ste 308
Grand Rapids, MI 49503
Phone (616) 309-0107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1003282724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 308",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "616-309-0107",
            "fax_number": "616-825-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 308",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "616-309-0107",
            "fax_number": "616-825-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM LIFE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "DUDGEON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "616-309-0107",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.