Individual provider Active NPI

Tressa Lemerand

  • Behavior Technician
  • Grand Haven, MI
National Provider Identifier
1306649157
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-366367 Issued in MI
Practice address
16925 Ability Way
Grand Haven, MI 49417-9325
Phone
(616) 215-1944
Fax
(616) 215-1944
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-366367 MI Primary

Addresses

Primary practice location

16925 Ability Way
Grand Haven, MI 49417-9325

Mailing address

16925 Ability Way
Grand Haven, MI 49417-9325
Phone (169) 357-6066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-24-366367MIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Shoreline Center LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

16925 Ability Way
Grand Haven, MI 49417
Phone (616) 268-2074

Organizations & group practices 1

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": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1306649157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 ABILITY WAY",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179325",
            "telephone_number": "169-357-6066",
            "fax_number": "616-935-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 ABILITY WAY",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179325",
            "telephone_number": "616-215-1944",
            "fax_number": "616-215-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMERAND",
        "first_name": "TRESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "RBT-24-366367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.