Active NPI
Rachel Blair Grigoryan, LMSW
- Social Worker
- Byron Center, MI
National Provider Identifier
1477083681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801101385
- Practice address
- 325 84TH St SW Ste 49315
Byron Center, MI 49315-9350 - Phone
- (616) 805-3660
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101385 | MI | Primary |
Addresses
Primary practice location
325 84TH St SW Ste 49315
Byron Center, MI 49315-9350
Mailing address
5618 E Falling Leaf Dr SE
Grand Rapids, MI 49512-9480
Phone (616) 510-5115
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101385 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albyan Therapy Group LLC | Current | Accepting new patients | |
| Virtuwell Therapy, LLC | Past | Accepting new patients | |
| Divine Mind Counseling and Consulting Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1346139771
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1013523976
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1477083681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5618 E FALLING LEAF DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495129480",
"telephone_number": "616-510-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 84TH ST SW STE 49315",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159350",
"telephone_number": "616-805-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGORYAN",
"first_name": "RACHEL",
"middle_name": "BLAIR",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.