Active NPI
Boost Recovery Services, LLC
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1396653804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BOOST RECOVERY SERVICES, LLC
- Practice address
- 2311 Shelby Ave
Ann Arbor, MI 48103-3849 - Phone
- (734) 234-6896
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Michelle Henson, LMSW, CBIS
- Title
- Owner
- Phone
- (734) 234-6896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2311 Shelby Ave
Ann Arbor, MI 48103-3849
Mailing address
4007 Carpenter Rd
Ypsilanti, MI 48197-9644
Phone (734) 234-6896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1396653804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 CARPENTER RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979644",
"telephone_number": "734-234-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 SHELBY AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033849",
"telephone_number": "734-234-6896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOST RECOVERY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "HENSON",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-234-6896",
"authorized_official_credential": "LMSW, CBIS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.