Active NPI
Megan Elise-Holst Besemer, LMSW, CAADC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1396017075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091139
- Practice address
- 1108 Leonard St NE
Grand Rapids, MI 49503-1274 - Phone
- (161) 238-0403
- Fax
- (616) 459-0392
- NPI assigned
- Jan 27, 2012
- Last updated
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091139 | MI | Primary |
Addresses
Primary practice location
1108 Leonard St NE
Grand Rapids, MI 49503-1274
Mailing address
1108 Leonard St NE
Grand Rapids, MI 49503-1274
Phone (161) 238-0403
Other names 1
- Miss Megan Elise Holst
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | megan@heartwoodcounselinggr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1215507561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1396017075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031274",
"telephone_number": "161-238-0403",
"fax_number": "616-459-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031274",
"telephone_number": "161-238-0403",
"fax_number": "616-459-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESEMER",
"first_name": "MEGAN",
"middle_name": "ELISE-HOLST",
"name_prefix": "Ms.",
"credential": "LMSW, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "megan@heartwoodcounselinggr.com",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "professional email",
"address_1": "1108 Leonard St NE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495031274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HOLST",
"middle_name": "ELISE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.