Active NPI
Brett Grabiel
- Clinical Social Worker
- Hersey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106266
- Practice address
- 4507 170TH Ave
Hersey, MI 49639-9736 - Phone
- (231) 305-6730
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101321 | MI | |
| Clinical Social Worker | 1041C0700X | 6801106266 | MI | Primary |
Addresses
Primary practice location
4507 170TH Ave
Hersey, MI 49639-9736
Mailing address
23462 11 Mile Rd
Big Rapids, MI 49307-9433
Phone (231) 818-1048
Other practice location 1
23462 11 Mile Rd
Big Rapids, MI 49307-9433
Phone (231) 818-1048
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bgrabiel@eaglevillage.org | Eagle Village Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210730000831 | MI | Practitioner - Clinical Social Worker | 9830592666 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling Center of West Michigan LLC
Practice addresses (Care Compare)
360 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101321 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Village Inc | Current | Accepting new patients | |
| Counseling Center of West Michigan, LLC | Current | Accepting new patients | |
| Virtuwell Therapy, LLC | Past | Accepting new patients | |
| North Country Community Mental Health | Past | Accepting new patients |
Locations
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021
3333 Deposit Dr NE
Ste 120
Grand Rapids, MI 49546
Phone (616) 940-3313
118 S Greenville West Dr
Ste A
Greenville, MI 48838
4507 170th Ave
Hersey, MI 49639
Phone (231) 305-6730
65 S Main St
Ste A
Rockford, MI 49341
Organizations & group practices 4
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.
-
- Psychiatric Residential Treatment Facility
- Hersey, MI
- NPI 1710351598
-
- Community/Behavioral Health Agency
- Petoskey, MI
- NPI 1053474015
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1154826253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23462 11 MILE RD",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079433",
"telephone_number": "231-818-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4507 170TH AVE",
"city": "HERSEY",
"state": "MI",
"postal_code": "496399736",
"telephone_number": "231-305-6730"
}
],
"practiceLocations": [
{
"address_1": "23462 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Big Rapids",
"state": "MI",
"postal_code": "493079433",
"country_code": "US",
"telephone_number": "231-818-1048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRABIEL",
"first_name": "BRETT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101321",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106266",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bgrabiel@eaglevillage.org",
"affiliation": "Y",
"endpointDescription": "Work",
"affiliationName": "Eagle Village Inc",
"address_1": "4507 170th Ave",
"city": "Hersey",
"state": "MI",
"country_code": "US",
"postal_code": "496399736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hersey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.