Individual provider Active NPI

Hayley Morgan Rusco, LLMSW

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1790493351
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6851110073 Issued in MI
Practice address
333 Bridge St NW Ste 1120
Grand Rapids, MI 49504-5356
Phone
(616) 805-3660
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6851110073 MI Primary
Clinical Social Worker 1041C0700X 6851110073 MI

Addresses

Primary practice location

333 Bridge St NW Ste 1120
Grand Rapids, MI 49504-5356

Mailing address

528 3 Mile Rd NE
Grand Rapids, MI 49505-3345
Phone (616) 216-4421

Other practice location 1

3800 Lake Michigan Dr NW Ste 103
Grand Rapids, MI 49534-4583
Phone (616) 805-3660 ext. 1161

Other practice location 2

233 Fulton St E Ste 526
Grand Rapids, MI 49503-3269
Phone (616) 805-3660 ext. 1142

Other names 1

  • Hayley Morgan Stites Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851110073MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1790493351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 3 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053345",
            "telephone_number": "616-216-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BRIDGE ST NW STE 1120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045356",
            "telephone_number": "616-805-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Lake Michigan Dr NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495344583",
            "country_code": "US",
            "telephone_number": "616-805-3660 x1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Fulton St E Ste 526",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033269",
            "country_code": "US",
            "telephone_number": "616-805-3660 x1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCO",
        "first_name": "HAYLEY",
        "middle_name": "MORGAN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851110073",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "STITES",
            "middle_name": "MORGAN",
            "credential": "LLMSW",
            "code": "2",
            "type": "Professional 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 Nov 11, 2022; 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.