Kaymi Rachelle Hargrove

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3353 Lousma Dr SE
Wyoming, MI 49548-2251

Phone

(616) 827-4183

NPI assigned

Nov 26, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Phoenix Rising Counseling L.L.C

  • Adolescent and Children Mental Health Clinic/Center
  • Wyoming, MI
  • NPI 1144079518
  NPD Authorized official
• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1376013029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 LOUSMA DR SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 LOUSMA DR SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482251",
            "telephone_number": "616-827-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "KAYMI",
        "middle_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382882853",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles David Hanf, M.D.
• Chloe Hanifan, PA-C
• Marin Hann, LPC
• Caitlin Alexandra Hannan
• Katherine Kelly Hansul, DO
• Raj Neale Hari, M.D.
• Jacqeulyn Harmon
• Jason Michael Harp, PA-C
• Rachel Nicole Harper, DO
• Amy Michelle Harris

• Social Worker in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.