Organization Active NPI

Kristi Paguio Consulting, LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1750083549
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISTI PAGUIO CONSULTING, LLC
Practice address
4467 Cascade Rd SE Ste 4469
Grand Rapids, MI 49546-3776
Phone
(773) 426-4067
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Kristi Paguio, LMSWNPI 1235487828
Title
Owner/Mental Health Provider
Phone
(773) 426-4067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4467 Cascade Rd SE Ste 4469
Grand Rapids, MI 49546-3776

Mailing address

4467 Cascade Rd SE Ste 4467
Grand Rapids, MI 49546-3776
Phone (773) 426-4067

Other names 1

  • Braving Diabetes Other name

National Provider Directory

National Provider Directory

Locations

4467 Cascade Rd SE
Ste 4467
Grand Rapids, MI 49546
Phone (616) 446-1873

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1750083549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4467",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "773-426-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "773-426-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI PAGUIO CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "PAGUIO",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "773-426-4067",
        "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": [
        {
            "organization_name": "Braving Diabetes",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Braving Diabetes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.