Kimberly Bytwerk

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015831 Issued in MI

Practice address

250 Monroe Ave NW Ste 400
Grand Rapids, MI 49503-2293

Phone

(616) 901-9507

NPI assigned

Mar 5, 2019

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716
  Medicare reassignment

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1417415829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MONROE AVE NW STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032293",
            "telephone_number": "616-901-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MONROE AVE NW STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032293",
            "telephone_number": "616-901-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYTWERK",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Byrket
• Andrea Miriam Byrne-Meyer
• Aaron Byrne
• Ashton Rae Byrne
• Alexandra Byrnes, LMSW
• Emily Christina Byxbe
• C & R Family Chiropractic Center
• C and T Home Care
• C3 Caregiving
• Samantha Marie Cabala, MPH, RD

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.