Building Blocks Therapy Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BUILDING BLOCKS THERAPY SERVICES, LLC

Practice address

600 3 Mile Rd NW Ste 102
Grand Rapids, MI 49544-1685

Phone

(616) 666-6396

Fax

(616) 259-4207

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Courtney Joesel, MA CCC-SLPNPI 1639584188

Title

Speech and Language Pathologist

Phone

(616) 666-6396

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Joesel, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1639584188
  Medicare reassignment NPD Authorized official
• Katelyn Anne Huizenga

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1891668703
  Medicare reassignment NPD
• Sarah Joy Kidder

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1871369157
  Medicare reassignment NPD
• Sidney Elizabeth Wyn, MS CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1689486144
  NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1356816805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3 MILE RD NW STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441685",
            "telephone_number": "616-666-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3 MILE RD NW STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441685",
            "telephone_number": "616-666-6396",
            "fax_number": "616-259-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "JOESEL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "616-666-6396",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639584188",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Thomas Buhr, LICSW, LMSW
• June Buikema-Tebeau
• Ella Buikema
• Sara Buikema
• Building Blocks Foundation, Inc
• Michelle Kristine Buist, NP
• Paige Marie Bukowski, PHARMD
• Charles D Bukrey, MD
• Christopher Marc Bulcher, DMD
• Brigid Bulger, PA-C

• Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.