Merrell Recovery Associates PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6801016149 Issued in MI

Legal business name

MERRELL RECOVERY ASSOCIATES PLLC

Practice address

41 Washington Ave
Suite 368
Grand Haven, MI 49417-1390

Phone

(616) 844-7003

Fax

(616) 844-7003

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Joseph Merrell III, ACSWNPI 1710152855

Title

Owner

Phone

(616) 844-7003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Joseph Merrell III, ACSW

  • Clinical Social Worker
  • Grand Haven, MI
  • NPI 1710152855
  Medicare reassignment NPD Authorized official
• Cynthia Crawford, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
  • NPI 1902090293
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1750616892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494170841",
            "telephone_number": "616-844-7003",
            "fax_number": "616-844-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE",
            "address_2": "SUITE 368",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171390",
            "telephone_number": "616-844-7003",
            "fax_number": "616-844-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRELL RECOVERY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-844-7003",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801016149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Meengs, OD
• Meghan Southwell LLC
• Ruchira Mehra, MD
• Meijer Inc (Meijer Pharmacy #180)
• Leah Joy Meiste, LMSW
• Joseph Merrell III, ACSW
• Elizabeth Rae Merrill, RDN
• Carrie Metevia, DPT
• John L Meyer, DPM
• Kelli Lynn Meyer, R.D.

• Addiction (Substance Use Disorder) Counselor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.