Kristen M Bylsma, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116623 Issued in MI

Practice address

1234 Calvin Ave SE
Grand Rapids, MI 49506-3210

Phone

(847) 736-3007

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1205199239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 CALVIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063210",
            "telephone_number": "847-736-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 CALVIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063210",
            "telephone_number": "847-736-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLSMA",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116623",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802086387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Byler, PA-C, RD
• Alex Dale Bylsma, FNP-C
• Bruce Alan Bylsma, AU.D.
• Greg Bylsma
• Hannah Bylsma, PSYD
• Rebecca Mae Bylsma, MS, OTR
• Sarah Lynn Bylsma, LMSW
• John Byrket
• Andrea Miriam Byrne-Meyer
• Aaron Byrne

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.