Kimberly Bartz PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090190 Issued in MI

Legal business name

KIMBERLY BARTZ PLLC

Practice address

9809 Cherry Valley Ave SE
Caledonia, MI 49316-9592

Phone

(616) 886-8645

NPI assigned

Sep 7, 2015

Last updated

Sep 7, 2015By 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

Mrs. Mary Beth Houpt Houpt

Title

Credentialing

Phone

(517) 676-9788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1790153856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 CHERRY VALLEY AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169592",
            "telephone_number": "616-886-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BARTZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_middle_name": "HOUPT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Keely
• Alisia Nina Kersten-Harp, LLPC
• Brennan Edward Kersten
• Kevin P Purgiel DO PC
• Julee Renee Kidder, DPT
• Arinn King
• Andrew Kingsbury, NP
• Allison K Kisule, LMSW
• Kelsey Klingenberg, LMSW
• Valerie Kloosterman, PAC

• Clinical Social Worker in Caledonia, MI
• Providers in Caledonia, 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 Sep 7, 2015; 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.