CHERRY STREET SERVICES INC (NPI# 1316340094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316340094 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES INC |
| Practice Address |
421 Fountain St Ne Grand Rapids MI 49503-3334 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6169658200 |
| Mailing Telephone | 6169658200 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | TASHA BLACKMON (CEO) |
| Authorized Official Telephone | 6169658200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1184974263 | Cherry Street Services Inc | Counselor | 2929 Burlingame Ave Sw, Wyoming, MI 49509-2609 | 2012-09-14 |
| 1346600905 | Cherry Street Services Inc | Clinic/Center | 1611 Oak Ave, Muskegon, MI 49442-2468 | 2016-02-25 |
| 1427438944 | Cherry Street Services Inc | Clinic/Center | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2015-06-01 |
| 1184015539 | Cherry Street Services Inc | Clinic/Center | 204 E Muskegon St, Cedar Springs, MI 49319-9326 | 2015-02-06 |
| 1962800680 | Cherry Street Services Inc | Dentist | 1230 W State St, Hastings, MI 49058-9712 | 2014-12-11 |
| 1801298716 | Cherry Street Services Inc | Counselor | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2014-09-23 |
| 1396165601 | Cherry Street Services Inc | Dentist | 100 Cherry Street, Grand Rapids, MI 49503 | 2014-04-25 |
| 1265862841 | Cherry Street Services Inc | Social Worker | 330 W Woodlawn Ave, Hastings, MI 49058-1035 | 2013-11-19 |
| Street Address |
421 FOUNTAIN ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720262827 | Kimberly Jo Barrett | Physician Assistant | 421 Fountain St Ne, Grand Rapids, MI 49503-3334 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471368 | Justin L Shields | Clinic/Center | 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 | 2011-05-16 |
| 1902002272 | Trinity Health - Michigan | Clinic/Center | 359 S Division Ave, Grand Rapids, MI 49503 | 2007-06-25 |
| 1811427826 | Catherine's Health Center | Clinic/Center | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2017-06-13 |
| 1962933416 | Trinity Health-michigan | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2017-03-27 |
| 1023558533 | Cherry Health | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2017-03-02 |
| 1154584373 | Trinity Health - Michigan | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2008-07-08 |
| 1508063561 | Saint Mary's Health Services | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2007-07-02 |
| 1417154477 | St Mary's Hlth Svcs | Clinic/Center | 359 Division Ave S, Grand Rapids, MI 49503-4537 | 2007-07-02 |
| 1902002264 | St Marys Hlth Svcs | Clinic/Center | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2007-06-25 |
| 1710182431 | Professional Financial Services | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2007-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CHERRY STREET SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.