Active NPI
K'Quiana Arlyce Griffin-Knowling
- Professional Counselor
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401223469
- Practice address
- 781 Kenmoor Ave SE Ste C
Grand Rapids, MI 49546-8624 - Phone
- (616) 200-4433
- Fax
- (616) 828-1936
- NPI assigned
- Apr 7, 2021
- Last updated
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401223469 | MI | Primary |
Addresses
Primary practice location
781 Kenmoor Ave SE Ste C
Grand Rapids, MI 49546-8624
Mailing address
550 Morris Ave SE
Grand Rapids, MI 49503-5322
Phone (616) 304-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Cherry St SE
Grand Rapids, MI 49503-4526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Street Services, Inc. | Current | Accepting new patients | |
| Cherry Street Services, Inc | Current | Accepting new patients |
Locations
100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209
550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272
Interoperability endpoints
- kquiana.griffinknowling.p1@direct.cherryhealth.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cherry Street Health Services
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1558459164
-
dba Cherry Health - Tri County Middle School
- Federally Qualified Health Center (FQHC)
- Howard City, MI
- NPI 1831955251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1679152466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MORRIS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495035322",
"telephone_number": "616-304-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 KENMOOR AVE SE STE C",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468624",
"telephone_number": "616-200-4433",
"fax_number": "616-828-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN-KNOWLING",
"first_name": "K'QUIANA",
"middle_name": "ARLYCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401223469",
"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 Aug 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.