Individual provider Active NPI

Sarah Marie Richter, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1477047033
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116429 Issued in MI
Practice address
233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone
(616) 490-3468
Fax
(616) 369-1281
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Personal Care Attendant 3747P1801X
Clinical Social Worker 1041C0700X 6851116429 MI Primary

Addresses

Primary practice location

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262

Mailing address

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone (616) 490-3468

Other names 1

  • Mr. Ezra Nyle Richter Professional name

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
6851116429MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartstone Guidance Center LLC Clinical CurrentSince May 28, 2023 Accepting new patients

Locations

233 Fulton St E
Ste 222
Grand Rapids, MI 49503
Phone (616) 490-3468

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1477047033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 222",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033262",
            "telephone_number": "616-490-3468",
            "fax_number": "616-369-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 222",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033262",
            "telephone_number": "616-490-3468",
            "fax_number": "616-369-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EZRA",
            "last_name": "RICHTER",
            "middle_name": "NYLE",
            "prefix": "MR.",
            "credential": "LLMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.