Tara Blury LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091145 Issued in MI

Legal business name

TARA BLURY LLC

Practice address

1838 Portadown SW
Byron Center, MI 49315-8081

Phone

(248) 930-5620

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Tara Blury, LMSWNPI 1467687913

Title

Owner

Phone

(248) 930-5620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Tara Blury, MSW, LMSW, TF-CBT

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1467687913
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1619378767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 PORTADOWN SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158081",
            "telephone_number": "248-930-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA BLURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "BLURY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-930-5620",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Steenwyk, NP-C
• Allison Stock
• Gail Stoimenoff
• Mary Anne Strazanac
• Kenza Sumbal
• Stephanie Kristen Teslaa
• Amy Tetreault-Blok
• Ashley Theeuwes
• Third Coast Oral & Maxillofacial Surgery
• Kelly Renee Thornton, D.C.

• Clinical Social Worker in Byron Center, MI
• Providers in Byron Center, 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 Sep 9, 2014; 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.