Individual provider Active NPI

Kelly Powers Gutierrez

  • Clinical Social Worker
  • Ada, MI
National Provider Identifier
1457967598
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107437 Issued in MI
Practice address
967 Spaulding Ave SE Ste E
Ada, MI 49301-3703
Phone
(616) 965-1298
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801107437 MI Primary

Addresses

Primary practice location

967 Spaulding Ave SE Ste E
Ada, MI 49301-3703

Mailing address

2016 Godwin Ave SE
Grand Rapids, MI 49507-3126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801107437MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Powers, LLC Clinical CurrentSince Sep 27, 2020 Accepting new patients

Locations

967 Spaulding Ave SE
Ste E
Ada, MI 49301
Phone (616) 581-3085

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1457967598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 GODWIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 SPAULDING AVE SE STE E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013703",
            "telephone_number": "616-965-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS GUTIERREZ",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.