Individual provider Active NPI

Megan E Bardenhagen, LLMSW

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1942937339
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851116331 Issued in MI
Practice address
233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone
(616) 490-3468
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X 6851116331 MI Primary

Addresses

Primary practice location

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262

Mailing address

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262
Phone (616) 490-3468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851116331MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartstone Guidance Center LLC Social Worker CurrentSince Jun 18, 2023 Accepting new patients
Arbor Circle Corporation PastSince Apr 1, 2023 Accepting new patients

Locations

233 Fulton St E
Ste 222
Grand Rapids, MI 49503
Phone (616) 490-3468

Organizations & group practices 2

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1942937339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 222",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033262",
            "telephone_number": "616-490-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 222",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033262",
            "telephone_number": "616-490-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDENHAGEN",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 12, 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.