Essential Grace Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ESSENTIAL GRACE THERAPY, LLC

Practice address

12930 James St Ste 130
Holland, MI 49424-8324

Phone

(616) 510-4330

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth DelrealNPI 1578092078

Title

Ceo

Phone

(616) 510-4330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Marie Delreal, LMSW, CAADC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1578092078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1487405403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST STE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST STE 130",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324",
            "telephone_number": "616-510-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL GRACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "DELREAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-510-4330"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ermatinger, RN
• Susan LM Ervine, MD
• Anita Lynn Esquerra-Zwiers, RN
• Marisol E Esquivel
• Paige Marie Essenburg
• Jennifer Marie Evans
• Evergreen Commons, Inc.
• Marcia Everts
• Every Season Counseling PLLC
• Haley M Ewald, DPT

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.