Heather Duthler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEATHER DUTHLER

Practice address

648 Kinney Ave NW
Grand Rapids, MI 49534

Phone

(616) 889-9098

NPI assigned

Jul 19, 2019

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather E Duthler, LMSWNPI 1538551346

Title

Provider

Phone

(616) 889-9098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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.

• Heather Duthler, LMSW, CAADC, CCS

  • Social Worker
  • Sparta, MI
  • NPI 1538551346
  Medicare reassignment NPD Authorized official
• Timothy Bruce Duthler, PH.D.

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1558460154
  NPD (past)
• Steven Craig Griffioen, PSY.D.

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1356440994
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1336792324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 KINNEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-889-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 KINNEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-889-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER DUTHLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "DUTHLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "616-889-9098",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartwork Counseling & Wellness LLC
• Hearty Homes
• Heathcliffe Haven Assisted Living, LLC
• Gail L Heathcote, CNM
• Heather Dermyer, LLC
• Heather Hills Limited Partnership
• Heather Hills Nursing, LLC (Heather Hills Rehabilitation and Care Center)
• Heather Nitzki LLC (Impression Psychotherapy)
• Tamara Marie Heaven, H.U.C.C
• Samantha Heavner, OTR/L

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.