Cherry Street Services Inc
NPI 1386926004 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cherry Street Services Inc is a Federally Qualified Health Center (FQHC) organization in Grand Rapids, MI (NPI 1386926004).
Provider details
- NPI number
- 1386926004
- 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, Ceo(616) 965-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,475 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/Or Administration, Substance Use Counseling, Individual and Group Therapy, and Toxicology Testing, If Performed (provision of the Services By a Medicare-Enrolled Opioid TreatmG2067 | 1,073 | $239 |
| Take-Home Supply of Methadone; Up to 7 Additional Day Supply (provision of the Services By a Medicare-Enrolled Opioid Treatment Program); List Separately in Addition to Code for Primary ProcedureG2078 | 256 | $39 |
| Periodic Assessment; Assessing Periodically By Qualified Personnel to Determine the Most Appropriate Combination of Services and Treatment (provision of the Services By a Medicare-Enrolled Opioid Treatment Program); List Separately in Addition to Code forG2077 | 146 | $116 |
Typical Medicare-allowed amounts for these services range $39–$239 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southside Health Center
- Doing business as
- Southside Health Center
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Cherry Street Services Inc's NPI number?
- Cherry Street Services Inc's National Provider Identifier (NPI) is 1386926004, 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 2303 Kalamazoo Ave Se, Grand Rapids, MI 49507-3780.
- 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) 965-8390.
- Does Cherry Street Services Inc accept Medicare?
- Cherry Street Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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, Ceo. 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 (1386926004) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.