Organization Active NPI

Heal-Encourage-Motivate

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1104579473
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEAL-ENCOURAGE-MOTIVATE
Practice address
2025 E Beltline Ave SE
Grand Rapids, MI 49546-7630
Phone
(616) 202-6542
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Tahleekah Partee-Young, LMSW
Title
Mental Health Practitioner
Phone
(616) 202-6542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2025 E Beltline Ave SE
Grand Rapids, MI 49546-7630

Mailing address

2025 E Beltline Ave SE Ste 102
Grand Rapids, MI 49546-7673
Phone (616) 202-6542

Other practice location 1

3235 S Walker Rd
Muskegon, MI 49444-3458
Phone (616) 617-3443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206003765 MI Part B Supplier - Clinic/Group Practice 1153764113 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

4370 Chicago Dr SW
Unit 726
Grandville, MI 49418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1104579473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467673",
            "telephone_number": "616-202-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-202-6542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 S Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494443458",
            "country_code": "US",
            "telephone_number": "616-617-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAL-ENCOURAGE-MOTIVATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-12-28",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "PARTEE-YOUNG",
        "authorized_official_first_name": "TAHLEEKAH",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "616-202-6542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Dec 28, 2023; 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.