Individual provider Active NPI

Ryan Henry, LLMSW

  • Social Worker
  • Mount Pleasant, MI
National Provider Identifier
1235507195
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
301 S Crapo St
Mount Pleasant, MI 48858
Phone
(989) 772-5930
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

301 S Crapo St
Mount Pleasant, MI 48858

Mailing address

301 S Crapo St Ste 200
Mount Pleasant, MI 48858-2941
Phone (989) 772-5930

Other practice location 1

231 W Pine Lake Dr
Suite 102
Newaygo, MI 49337-8028
Phone (231) 652-1780

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
I20210528001326 MI Practitioner - Clinical Social Worker 9436558186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health for Central MichiganGroup PAC ID 4688660533, 44 clinicians

Practice addresses (Care Compare)

500 S 3Rd Ave
Big Rapids, MI 49307-9501
Phone (231) 796-5825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan CurrentSince Apr 27, 2021 Accepting new patients
Community Mental Health for Central Michigan PastSince Nov 24, 2019 Accepting new patients
Arbor Circle Corporation Past Accepting new patients
Grandview Foot and Ankle PC Past Accepting new patients

Locations

500 S 3rd Ave
Big Rapids, MI 49307
Phone (231) 796-3553

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1235507195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST STE 200",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Pine Lake Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Newaygo",
            "state": "MI",
            "postal_code": "493378028",
            "country_code": "US",
            "telephone_number": "231-652-1780",
            "fax_number": "231-652-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "RYAN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.