Melanie J Fuentes, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095839 Issued in MI

Practice address

3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766

Phone

(616) 405-9482

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Melanie Fuentes Holistic Therapy LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1023700903
  NPD Authorized official
• Amanda Estill LLC

  • Mental Health Counselor
  • Greenville, MI
  • NPI 1720616766
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1609440338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073812",
            "telephone_number": "616-405-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 CLEAR VISTA CT NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259766",
            "telephone_number": "616-405-9482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Kenmoor Ave SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462391",
            "country_code": "US",
            "telephone_number": "616-405-9482",
            "fax_number": "616-258-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MELANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Fryling, CPO
• Brooke Fryman
• FS Grand Rapids South, LLC
• MD Farhan Fuad
• Fuel Physical Therapy & Sports Performance
• Brian Ken Fujii, LPC, MAC, NCC
• Karen Fujii, M.S.W.
• Mary Deboer Fuler
• Keri Ann Fulkerson
• Full Circle Care, LLC

• 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 Nov 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.