Individual provider Active NPI

Kristi Farber

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1215366513
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085716 Issued in MI
Practice address
250 Monroe Ave NW
Grand Rapids, MI 49503-2211
Phone
(616) 888-1120
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 6801085716 MI
Clinical Social Worker 1041C0700X 6801085716 MI Primary

Addresses

Primary practice location

250 Monroe Ave NW
Grand Rapids, MI 49503-2211

Mailing address

3795 Hilton Ave SE
Lowell, MI 49331-9527
Phone (616) 888-1120

Other practice location 1

1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-7330

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

State licenses

LicenseStateTypeSpecialty
6801085716MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Journey PLLC Past Accepting new patients
Arbor Circle Corporation PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215366513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 HILTON AVE SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319527",
            "telephone_number": "616-888-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MONROE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032211",
            "telephone_number": "616-888-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 E Newell St",
            "address_purpose": "LOCATION",
            "city": "White Cloud",
            "state": "MI",
            "postal_code": "493498795",
            "country_code": "US",
            "telephone_number": "231-689-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARBER",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085716",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085716",
            "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 Mar 17, 2018; 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.