Organization Active NPI

Resilience Therapy LLC

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1184225575
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RESILIENCE THERAPY LLC
Practice address
2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669
Phone
(616) 236-3600
Fax
(616) 369-1449
NPI assigned
Nov 3, 2020
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Marybeth Houpt
Title
Credentialing
Phone
(517) 676-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669

Mailing address

PO Box 10
Mason, MI 48854-0010

Other practice location 1

110 S 3rd St Ste 120
Saint Clair, MI 48079-5369
Phone (616) 236-3600

Other practice location 2

2100 60th St SE
Grand Rapids, MI 49508-6606
Phone (616) 236-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109001849 MI Part B Supplier - Clinic/Group Practice 7113337809 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Rapids, MI; Saint Clair, MI

National Provider Directory

National Provider Directory

Locations

2100 60th St SE
Grand Rapids, MI 49508
Phone (616) 236-3600

2130 Enterprise St SE
Ste 238
Grand Rapids, MI 49508
Phone (616) 236-3600

2146 Division Ave S
Unit 2
Grand Rapids, MI 49507
Phone (616) 236-3600

2335 Burton St SE
Ste 210
Grand Rapids, MI 49506
Phone (616) 236-3600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1184225575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-236-3600",
            "fax_number": "616-369-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S 3rd St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Clair",
            "state": "MI",
            "postal_code": "480795369",
            "country_code": "US",
            "telephone_number": "616-236-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 60th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495086606",
            "country_code": "US",
            "telephone_number": "616-236-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESILIENCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "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 Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.