Individual provider Active NPI

Donna Marie Kuiper, MA LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1083775829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801018504 Issued in MI
Practice address
822 Cherry St SE
Grand Rapids, MI 49506-1402
Phone
(616) 776-0891
Fax
(616) 233-0689
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801018504 MI Primary

Addresses

Primary practice location

822 Cherry St SE
Grand Rapids, MI 49506-1402

Mailing address

822 Cherry St SE
Grand Rapids, MI 49506-1402
Phone (616) 776-0891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000135 MI Practitioner - Clinical Social Worker 4789789371 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801018504MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kent County CMH Authority CurrentSince Nov 10, 2025 Accepting new patients
Kent County CMH Authority CurrentSince Nov 10, 2025 Accepting new patients
Arbor Circle Corporation CurrentSince Oct 7, 2012 Accepting new patients
Project Rehab Past Accepting new patients
Life Guidance Services Social Worker Past Accepting new patients

Locations

1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775

1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001

790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765

260 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 459-1267

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083775829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061402",
            "telephone_number": "616-776-0891",
            "fax_number": "616-233-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061402",
            "telephone_number": "616-776-0891",
            "fax_number": "616-233-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIPER",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "MA LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801018504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.