Individual provider Active NPI

Carrie Zinser, LMSW

  • School Social Worker
  • Grand Rapids, MI
National Provider Identifier
1992943757
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6801085231 Issued in MI
Practice address
3292 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone
(616) 365-8920
NPI assigned
Jan 30, 2009
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
School Social Worker 1041S0200X 6801085231 MI Primary

Addresses

Primary practice location

3292 N Evergreen Dr NE
Grand Rapids, MI 49525

Mailing address

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 365-8920

Other practice location 1

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone (616) 365-8920

Other practice location 2

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone (616) 365-8920

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
I20191120001533 MI Practitioner - Clinical Social Worker 1153753736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling PLLCGroup PAC ID 1355670233, 11 clinicians

Practice addresses (Care Compare)

6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085231MIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling PLLC Social Worker CurrentSince Oct 31, 2023 Accepting new patients

Locations

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1992943757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-365-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-365-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 Eagle Run Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257070",
            "country_code": "US",
            "telephone_number": "616-365-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3351 Eagle Run Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257070",
            "country_code": "US",
            "telephone_number": "616-365-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINSER",
        "first_name": "CARRIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801085231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.