Tara Blury, MSW, LMSW, TF-CBT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091145 Issued in MI

Practice address

2460 Burton St SE Ste 301
Grand Rapids, MI 49546-4801

Phone

(616) 208-4740

NPI assigned

May 27, 2009

Last updated

Mar 26, 2024By the provider in NPPES

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tara Blury LLC

  • Clinical Social Worker
  • Byron Center, MI
  • NPI 1619378767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1467687913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050854",
            "telephone_number": "616-208-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BURTON ST SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464801",
            "telephone_number": "616-208-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLURY",
        "first_name": "TARA",
        "credential": "MSW, LMSW, TF-CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-03-26",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Sky Vision Eye Care, P.C (Grand Rapids Ophthalmology)
• Brandon Blue
• Chloe Mae Blue
• Blueberry Hill Counseling LLC
• Allison Blumenfeld, MD
• Michelle Lee Blystone, OTR/L
• Claire Elizabeth Blystra
• BMSC Mi LLC
• Michelle Lynn Boahbedason
• Board of Education Kent County

• 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 Mar 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.