Steven James Bristol, LMSW, MDIV, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801113916 Issued in MI

Practice address

756 Fulton St W
Grand Rapids, MI 49504-6404

Phone

(616) 780-5402

Fax

(616) 222-0631

NPI assigned

Aug 20, 2019

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627
  Medicare reassignment Care Compare group NPD
• Hoxworth Counseling Services, LLC

  • Counseling Psychologist
  • Middleville, MI
  • NPI 1568958718

  Clinical

  NPD
• Striving2Thriving

  • Clinical Social Worker
  • Middleville, MI
  • NPI 1548932254
  NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1831746254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROSEBUD LN SW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495345872",
            "telephone_number": "616-780-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 FULTON ST W",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046404",
            "telephone_number": "616-780-5402",
            "fax_number": "616-222-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LMSW, MDIV, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua S Brinks, FNP
• Ruth Ann Brintnall, CNP
• Daria Brinzevich
• Bryan H Briske
• Joseph Brisson
• Javin Hastin Brita, PA-C
• Amy Elizabeth Britcher, LPC
• Luz Maria Brito-Avelino
• Allison J Brito
• Israel Alejandro Brito, LPC, TLLP

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.