Individual provider Active NPI

Naomi Beth Grimm

  • Mental Health Counselor
  • Byron Center, MI
National Provider Identifier
1124892955
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401226495 Issued in MI
Practice address
7791 Byron Center Ave SW
Byron Center, MI 49315-8412
Phone
(616) 499-4711
Fax
(888) 336-9355
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401226495 MI Primary

Addresses

Primary practice location

7791 Byron Center Ave SW
Byron Center, MI 49315-8412

Mailing address

1310 Alexander St SE
Grand Rapids, MI 49506-3219
Phone (616) 209-8669

Other practice location 1

2465 Byron Station Dr SW
Byron Center, MI 49315-9482
Phone (616) 499-4711

Other names 1

  • Naomi Beth Daniels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451023348MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amplified Life Network, LLC CurrentSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1124892955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ALEXANDER ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063219",
            "telephone_number": "616-209-8669",
            "fax_number": "888-336-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7791 BYRON CENTER AVE SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158412",
            "telephone_number": "616-499-4711",
            "fax_number": "888-336-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 Byron Station Dr SW",
            "address_purpose": "LOCATION",
            "city": "Byron Center",
            "state": "MI",
            "postal_code": "493159482",
            "country_code": "US",
            "telephone_number": "616-499-4711",
            "fax_number": "888-336-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "NAOMI",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401226495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "DANIELS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.