Mia Flynn, TLLP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6351004831 Issued in MI

Practice address

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166

Phone

(616) 591-9000

NPI assigned

Jun 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Rapids Therapy Group Inc

  • Psychologist
  • Grand Rapids, MI
  • NPI 1295211076
  NPD

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1750277000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HAMPTON LN NW APT 1A",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4565 Wilson Ave SW",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182371",
            "country_code": "US",
            "telephone_number": "616-591-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MIA",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6351004831",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6351004831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanayia Floyd
• Kara I. a. Fluhart
• April D Fluit, R.PH.
• Lauren Flynn, PA
• Mary Flynn
• Ryan Flynn
• FMS Clyde Park South, LLC
• Hunter Logan Foco
• Kelsey Foco, LLMSW
• Aida S. Foerster, LLPC

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.