Cherry Street Services Inc
NPI 1043592629 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
Cherry Street Services Inc is a Federally Qualified Health Center (FQHC) organization in Grand Rapids, MI (NPI 1043592629).
Provider details
- NPI number
- 1043592629
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services Inc
- Organization subpart
- Yes
- Authorized official
- Tasha Blackmon, Executive Director(616) 776-2121
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatric Adolescent Medicine Physician2080A0000X
Allopathic & Osteopathic Physicians
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Leonard Street Counseling Center
- Doing business as
- Leonard Street Counseling Center
Registry dates
- Enumerated
- 2011-09-09
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Frequently asked questions
- What is Cherry Street Services Inc's NPI number?
- Cherry Street Services Inc's National Provider Identifier (NPI) is 1043592629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Street Services Inc?
- Cherry Street Services Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Cherry Street Services Inc located?
- Cherry Street Services Inc's practice location on file with NPPES is 1400 Leonard Street Ne, Grand Rapids, MI 49505-5515.
- What is Cherry Street Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Cherry Street Services Inc is (616) 954-1991.
- Who is the authorized official for Cherry Street Services Inc?
- The authorized official listed on Cherry Street Services Inc's NPPES record is Tasha Blackmon, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Street Services Inc's NPI active?
- Yes — Cherry Street Services Inc's NPI (1043592629) is active in the NPPES registry as of the last update on 2021-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.