Organization Active NPI

Guided Grace

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1821516840
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081858 Issued in MI
Legal business name
GUIDED GRACE
Practice address
1232 N Michigan Ave
Saginaw, MI 48602-4728
Phone
(989) 401-8990
Fax
(989) 401-8992
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Nicole Liggins
Title
Owner
Phone
(989) 401-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801081858 MI Primary

Addresses

Primary practice location

1232 N Michigan Ave
Saginaw, MI 48602-4728

Mailing address

1232 N Michigan Ave
Saginaw, MI 48602-4728
Phone (989) 401-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180516001884 MI Part B Supplier - Clinic/Group Practice 9032473210 Receives reassigned benefits from 2 practitioners
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

1310 N Michigan Ave
Saginaw, MI 48602
Phone (989) 714-8757

1310 N Michigan Ave
Ste A
Saginaw, MI 48602

1232 N Michigan Ave
Saginaw, MI 48602
Phone (989) 244-1263

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1821516840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024728",
            "telephone_number": "989-401-8990",
            "fax_number": "989-401-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024728",
            "telephone_number": "989-401-8990",
            "fax_number": "989-401-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "LIGGINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-401-8990"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.