Justine Ter Haar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087775 Issued in MI

Practice address

1061 S Beacon Blvd Ste 200
Grand Haven, MI 49417-2588

Phone

(616) 846-2015

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hospice of North Ottawa Community, Inc.

  • Community Based Hospice Care Agency
  • Grand Haven, MI
  • NPI 1518953272
  NPD (past)
• Noch Physician Billing Company LLC

  • Family Medicine Physician
  • Grand Haven, MI
  • NPI 1972550580
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1447635123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 64TH AVE",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649308",
            "telephone_number": "616-403-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S BEACON BLVD STE 200",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172588",
            "telephone_number": "616-846-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TER HAAR",
        "first_name": "JUSTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annah Taylor
• Samantha J Taylor, DPT
• Susan Johnson Taylor, M.D.
• Debra Sue Teadt Brinklow, LMSW
• Calvin Robert Tebbe, DO
• The Hair Extensionist
• The Shoreline Center LLC
• Emily Ann Theil, M.ED., BCBA
• Carrie Camille Thomas, LPC
• Kyle Joseph Thompson, PHARMD

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, 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 Jul 23, 2015; 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.