Organization Active NPI

Barnes Therapy Services PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1336642149
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BARNES THERAPY SERVICES PLLC
Practice address
4920 Plainfield Ave NE
Grand Rapids, MI 49525-1010
Phone
(616) 690-3986
NPI assigned
Mar 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Mrs. Melissa Barnes, LMSW
Title
Therapist
Phone
(616) 690-3986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4920 Plainfield Ave NE
Grand Rapids, MI 49525-1010

Mailing address

4920 Plainfield Ave NE
Grand Rapids, MI 49525-1010
Phone (616) 690-3986

Other identifiers 1

IdentifierTypeStateIssuer
1932475340MedicaidMI

National Provider Directory

National Provider Directory

Locations

4920 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 648-9235

4920 Plainfield Ave NE
Ste E
Grand Rapids, MI 49525
Phone (616) 951-1677

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1336642149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "616-690-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "616-690-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-690-3986",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932475340",
            "state": "MI"
        }
    ],
    "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 Sep 14, 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.