Active NPI
Tashuna Michelle Hunt, MSW
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1609268416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106127
- Practice address
- 448 Dickinson St SE
Grand Rapids, MI 49507-2671 - Phone
- (616) 819-2765
- Fax
- (616) 819-2502
- NPI assigned
- Mar 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801096723 | MI | |
| Clinical Social Worker | 1041C0700X | 6801106127 | MI | Primary |
Addresses
Primary practice location
448 Dickinson St SE
Grand Rapids, MI 49507-2671
Mailing address
805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone (616) 451-2021
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096723 | MI | MD | Mental Health Counselor |
| 6801106127 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Space for Change Therapeutic Services, LLC | Clinical | Current | Accepting new patients |
| D.a. Blodgett - St. John'S | Past | Accepting new patients | |
| D a Blodgett-St Johns | Clinical | 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
- Jenison, MI
- NPI 1740957133
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1801929435
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1861701229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1609268416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 LEONARD ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031138",
"telephone_number": "616-451-2021",
"fax_number": "616-774-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 DICKINSON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072671",
"telephone_number": "616-819-2765",
"fax_number": "616-819-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "TASHUNA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801096723",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.