Active NPI
Greta J Hoekstra, LMSW
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1194818716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801005241
- Practice address
- 1000 Parchment Dr SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546 - Phone
- (616) 957-9112
- Fax
- (616) 957-2409
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801005241 | MI | Primary |
Addresses
Primary practice location
1000 Parchment Dr SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546
Mailing address
1000 Parchment Dr SE
Psychology Associates of Grand Rapids, PC
Grand Rapids, MI 49546
Phone (616) 957-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008946690 | Other | MA | BC/BS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194818716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARCHMENT DR SE",
"address_2": "PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-957-9112",
"fax_number": "616-957-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PARCHMENT DR SE",
"address_2": "PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-957-9112",
"fax_number": "616-957-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "GRETA",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801005241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8008946690",
"state": "MA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.