Active NPI
Tarien Williams, LLC
- Counselor
- Grand Rapids, MI
National Provider Identifier
1629666979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451023847
- Practice address
- 2920 Fuller Ave NE Ste 208
Grand Rapids, MI 49505-3458 - Phone
- (616) 551-2916
- Fax
- (616) 383-9009
- NPI assigned
- Jan 4, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451023847 | MI | Primary |
Addresses
Primary practice location
2920 Fuller Ave NE Ste 208
Grand Rapids, MI 49505-3458
Mailing address
2920 Fuller Ave NE Ste 208
Grand Rapids, MI 49505-3458
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 |
|---|---|---|---|
| 6362009223 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1629666979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 FULLER AVE NE STE 208",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 FULLER AVE NE STE 208",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053458",
"telephone_number": "616-551-2916",
"fax_number": "616-383-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TARIEN",
"credential": "LLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451023847",
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.