Individual provider Active NPI

Holly Osbeck, LMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1811615248
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093029 Issued in MI
Practice address
540 Leonard St NW Ste G
Grand Rapids, MI 49504-4260
Phone
(616) 458-6870
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801093029 MI Primary

Addresses

Primary practice location

540 Leonard St NW Ste G
Grand Rapids, MI 49504-4260

Mailing address

7570 Cannon Run NE
Rockford, MI 49341-7682
Phone (616) 826-5397

Other names 1

  • Miss Holly Reed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124002740 MI Practitioner - Clinical Social Worker 2264803543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince Oct 22, 2022 Accepting new patients
Well Being LLC CurrentSince Aug 28, 2022 Accepting new patients
Adoption Care Services Current Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

540 Leonard St NW
Ste G
Grand Rapids, MI 49504
Phone (616) 458-6870

118 S Greenville West Dr
Ste B
Greenville, MI 48838

65 S Main St
Ste A
Rockford, MI 49341

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1811615248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 CANNON RUN NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417682",
            "telephone_number": "616-826-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LEONARD ST NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044260",
            "telephone_number": "616-458-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBECK",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "REED",
            "prefix": "MISS",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.