Organization Active NPI

Kimberly Lichon-Tufer

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1881308666
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIMBERLY LICHON-TUFER
Practice address
401 Hall St SW Ste 185a
Grand Rapids, MI 49503-5098
Phone
(616) 813-3394
NPI assigned
Jan 6, 2023
Organization subpart
Yes
Parent organization
KIMBERLY LICHON-TUFER, LMSW, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Mrs. Kimberly Sue Lichon-Tufer, LMSWNPI 1265974976
Title
Clinical Social Worker/Therapist
Phone
(616) 813-3394

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

401 Hall St SW Ste 185a
Grand Rapids, MI 49503-5098

Mailing address

401 Hall St SW Ste 185a
Grand Rapids, MI 49503-5098
Phone (616) 813-3394

Other identifiers 1

IdentifierTypeStateIssuer
VS0114295MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim@lichoncounseling.com Direct

National Provider Directory

National Provider Directory
Part of
Kimberly Lichon-Tufer

Locations

401 Hall St SW
Ste 185A
Grand Rapids, MI 49503
Phone (616) 813-3394

Practitioners & affiliated clinicians

Practitioners 1

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": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1881308666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 185A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035098",
            "telephone_number": "616-813-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 185A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035098",
            "telephone_number": "616-813-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY LICHON-TUFER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBERLY LICHON-TUFER, LMSW, LLC",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "LICHON-TUFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "616-813-3394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0114295",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@lichoncounseling.com",
            "affiliation": "N",
            "endpointDescription": "hippa compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "401 Hall St SW Ste 185A",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495035098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 6, 2023; 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.