Kelli Joy Plaster

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4370 Chicago Dr SW Ste 735
Grandville, MI 49418-1694

Phone

(616) 341-7470

NPI assigned

Oct 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Entiva Behavioral Health LLC

  • Behavior Analyst
  • Grandville, MI
  • NPI 1518728310
  NPD

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1124995097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W WASHINGTON AVE",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641009",
            "telephone_number": "616-312-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 CHICAGO DR SW STE 735",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181694",
            "telephone_number": "616-341-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "KELLI",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Pike-Beld, LMSW
• Pine Rest Christian Mental Health Services
• Pinpoint Physical Therapy
• Cynthia Pio
• Vanessa Erin-Marie Pio, LPN
• Quincee Rose Pohl
• Kayla Poll
• Darcy Porter, LLPC
• Makayla Jo Porter, OD
• Felipe Porto, DDS, MS, MSD

• Behavior Technician in Grandville, MI
• Providers in Grandville, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.