Active NPI
Katie Elizabeth Achtyes, LMSW, CAADC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1134429459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090605
- Practice address
- 201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513 - Phone
- (616) 459-0255
- Fax
- (616) 242-6057
- NPI assigned
- Nov 2, 2010
- Last updated
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090605 | MI | Primary |
Addresses
Primary practice location
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Mailing address
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone (616) 459-0255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchstone Innovare | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1134429459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SHELDON BLVD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034513",
"telephone_number": "616-459-0255",
"fax_number": "616-242-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SHELDON BLVD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034513",
"telephone_number": "616-459-0255",
"fax_number": "616-242-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHTYES",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMSW, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090605",
"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 Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.