Organization Active NPI

616 Center for Behavioral Health

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1265138135
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
616 CENTER FOR BEHAVIORAL HEALTH
Practice address
3501 Lake Eastbrook Blvd SE Ste 120
Grand Rapids, MI 49546-5939
Phone
(616) 914-6471
NPI assigned
Feb 2, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Meghan Lytle-Burrows, LMSW
Title
Owner/Provider
Phone
(616) 914-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3501 Lake Eastbrook Blvd SE Ste 120
Grand Rapids, MI 49546-5939

Mailing address

3501 Lake Eastbrook Blvd SE Ste 120
Grand Rapids, MI 49546-5939
Phone (616) 914-6471

National Provider Directory

National Provider Directory

Locations

3501 Lake Eastbrook Blvd SE
Ste 120
Grand Rapids, MI 49546
Phone (206) 696-8765

Practitioners & affiliated clinicians

Practitioners 1

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": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1265138135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465939",
            "telephone_number": "616-914-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465939",
            "telephone_number": "616-914-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "616 CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LYTLE-BURROWS",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "616-914-6471",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 Feb 2, 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.