Individual provider Active NPI

Anne Gruber-Bartley

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1992189344
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801100685 Issued in MI
Practice address
5270 Northland Dr NE Ste B
Grand Rapids, MI 49525-1073
Phone
(616) 326-5672
NPI assigned
Jul 15, 2015
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCSW00001976 CO
Social Worker 104100000X 6801100685 MI Primary

Addresses

Primary practice location

5270 Northland Dr NE Ste B
Grand Rapids, MI 49525-1073

Mailing address

701 Hayes Dr
Bay City, MI 48708-6801
Phone (720) 939-9089

Other practice location 1

710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379
Phone (616) 425-2176

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
I20170328000992 MI Practitioner - Clinical Social Worker 4789969106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hra Psychological Services PCGroup PAC ID 8820994031, 5 clinicians

Practice addresses (Care Compare)

2851 Charlevoix Dr SE
Suite 323 Hra Psychological Services
Grand Rapids, MI 49546-7092
Phone (616) 458-0692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001976COMDProfessional Counselor
6801100685MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hra Psychological Services PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2851 Charlevoix Dr SE
Ste 323
Grand Rapids, MI 49546
Phone (616) 458-0692

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1992189344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HAYES DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086801",
            "telephone_number": "720-939-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NORTHLAND DR NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251073",
            "telephone_number": "616-326-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Kenmoor Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462379",
            "country_code": "US",
            "telephone_number": "616-425-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER-BARTLEY",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LCSW00001976",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.