Individual provider Active NPI

Rachel Marie Vanbuskirk, LMSW

  • Clinical Social Worker
  • Byron Center, MI
National Provider Identifier
1972080679
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094611 Issued in MI
Practice address
2178 Byron Shores Dr SW
Byron Center, MI 49315-8087
Phone
(616) 299-8789
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094611 MI Primary

Addresses

Primary practice location

2178 Byron Shores Dr SW
Byron Center, MI 49315-8087

Mailing address

2178 Byron Shores Dr SW
Byron Center, MI 49315-8087
Phone (616) 299-8789

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190827003749 MI Practitioner - Clinical Social Worker 1850629924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portal Point Counseling LLCGroup PAC ID 5698002418, 3 clinicians

Practice addresses (Care Compare)

1428 44TH St SW
Suite B
Wyoming, MI 49509-4312
Phone (616) 279-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1972080679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 BYRON SHORES DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158087",
            "telephone_number": "616-299-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 BYRON SHORES DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158087",
            "telephone_number": "616-299-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUSKIRK",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.