McKenna Bockheim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6851110426 Issued in MI

Practice address

340 Washington St SE
Grand Rapids, MI 49503-4359

Phone

(616) 822-7716

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sheri Rodriguez, LMSW, Acsw

  • Counselor
  • Grand Rapids, MI
  • NPI 1245515576
  Medicare reassignment NPD
• Sheri Rodriguez & Associates Therapy

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1285203661
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1346925724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SUMMERWIND AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259511",
            "telephone_number": "616-822-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WASHINGTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034359",
            "telephone_number": "616-822-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHEIM",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851110426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Bochniak, DDS
• Amelia Grace Bock
• Breanna Bock, RD
• Garrett Harry Bock
• Logan Bockheim
• Lisa Nicole-Cizek Boczar, LMSW
• Jacob Boehm, M.S.
• Ashley Boehr
• Amy Boekeloo, CRNA
• Bradley Mark Boelkins, M.D.

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.