Active NPI
Heal-Encourage-Motivate
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1104579473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Social Worker
- Grand Rapids, MI
- NPI 1700157005
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.