Individual provider Active NPI

Brett Grabiel

  • Clinical Social Worker
  • Hersey, MI
National Provider Identifier
1154826253
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106266 Issued in MI
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

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 154 clinicians

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

LicenseStateTypeSpecialty
6801101321MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Village Inc CurrentSince Nov 25, 2022 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince Jul 29, 2021 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 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.

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

Verify at the official NPI Registry.