Individual provider Active NPI

Tiara Foster Holmgren

  • Counselor
  • Wyoming, MI
National Provider Identifier
1417349093
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1055 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone
(616) 773-2908
NPI assigned
Feb 19, 2015
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1055 Gezon Pkwy SW
Wyoming, MI 49509-9542

Mailing address

2140 Finsbury LN NW
Grand Rapids, MI 49504-4701
Phone (616) 460-7153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Parpas Counseling LLC Psychologist CurrentSince Oct 17, 2024 Accepting new patients
Arbor Circle Corporation PastSince Feb 14, 2011 Accepting new patients
Arbor Circle Corporation Past Accepting new patients

Locations

1055 Gezon Pkwy SW
Wyoming, MI 49509
Phone (616) 773-2908

1055 Gezon Pkwy SW
#C
Wyoming, MI 49509
Phone (616) 773-2908

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1417349093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 FINSBURY LN NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044701",
            "telephone_number": "616-460-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 GEZON PKWY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099542",
            "telephone_number": "616-773-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER HOLMGREN",
        "first_name": "TIARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.