Tayler Bannasch Heath, CTRS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851118069 Issued in MI

Practice address

2424 W Washington Ave Ste 200
Jackson, MI 49203-1236

Phone

(517) 205-6784

NPI assigned

Dec 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1972968071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 SYCAMORE ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421573",
            "telephone_number": "989-464-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W WASHINGTON AVE STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031236",
            "telephone_number": "517-205-6784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4613 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488421573",
            "country_code": "US",
            "telephone_number": "989-464-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "TAYLER",
        "middle_name": "BANNASCH",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "66178",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851118069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Horizons LLC
• Hear 4 You Hearing Center LLC
• Erica Hearn
• Heartland of Jackson Mi LLC
• Melissa Ann Heath
• Heavenly Companion, LLC
• Heavenly Home Healthcare Agency LLC
• Jade Heaviland
• Molly Heberling, PA-C
• Ryan Heckaman

• Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.