Therapy Lab Collective

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAPY LAB COLLECTIVE

Practice address

976 Powers Ave NW
Grand Rapids, MI 49504-4347

Phone

(616) 589-9506

NPI assigned

Nov 4, 2026

Last updated

Nov 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reyna Jimenez, LMSW

Title

Therapist

Phone

(616) 589-9506

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1794096000000",
    "number": "1629977723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 POWERS AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 POWERS AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044347",
            "telephone_number": "616-589-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LAB COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-08",
        "certification_date": "2026-11-08",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-589-9506",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Thelen
• Zachary Thelen
• Fiona Madalena Theodoroff, LLPC
• Theraplay, Inc.
• Therapy Center for Behavioral Health and Rehabilitation
• Therapy Management Inc
• Therapy Now LLC
• Therapy Specialists, Inc.
• Ashley Noelle Therasse, M.D.
• Christopher James Therasse, M.D.

• 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 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.