NPIMap

Organization Active NPI

Three Fates LLC

Doing business as Chaotic Good

  • Clinical Social Worker
  • Norton Shores, MI
National Provider Identifier
1821782400
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THREE FATES LLC
Doing business as
Chaotic Good
Chaotic Good Educate Heal Create
Practice address
3611 Henry St
Norton Shores, MI 49441-4705
Phone
(231) 900-3096
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Authorized official

Name
Rebecca NewmanNPI 1326617234
Title
Owner, LCSW
Phone
(231) 725-5857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3611 Henry St
Norton Shores, MI 49441-4705

Mailing address

3611 Henry St
Norton Shores, MI 49441-4705
Phone (231) 900-3096

Other names 2

  • Chaotic Good Doing business as
  • Chaotic Good Educate Heal Create Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919000482 MI Part B Supplier - Clinic/Group Practice 7416311873 Receives reassigned benefits from 5 practitioners
Practice locations: Muskegon, MI; Norton Shores, MI

National Provider Directory

National Provider Directory

Locations

754 Pine St
Muskegon, MI 49442
Phone (231) 724-1444

3611 Henry St
Norton Shores, MI 49441
Phone (231) 237-8898

Practitioners & affiliated clinicians

Practitioners 6

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1821782400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 HENRY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414705",
            "telephone_number": "231-900-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 HENRY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414705",
            "telephone_number": "231-900-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE FATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "231-725-5857"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaotic Good",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaotic Good Educate Heal Create",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaotic Good Educate Heal Create",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.