Healing Roots Therapy Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING ROOTS THERAPY GROUP

Practice address

327 Bristol Ave NW
Grand Rapids, MI 49504-4927

Phone

(616) 485-5920

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Andrea Lee Dieleman, LMSWNPI 1326523325

Title

Owner

Phone

(616) 485-5920

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Lee Dieleman, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1326523325
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1437931532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BRISTOL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044927",
            "telephone_number": "616-485-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BRISTOL AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044927",
            "telephone_number": "616-485-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Lake Dr SE Ste 4",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061673",
            "country_code": "US",
            "telephone_number": "616-485-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING ROOTS THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-485-5920",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Christopher Heagle, PA-C
• Heal-Encourage-Motivate
• Anna Heald, LLMSW
• Healing Center of West Michigan PLLC (Healing Center of West Michigan)
• Healing Minds LLC
• Health Net of West Michigan
• Healthbaar LLC (HealthBar)
• Healthquest Surgical Associates PLC
• Healthy Family Physicians PC
• Healthy Heads and Hearts, LLC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.