Grand Rapids Integrative Therapy LLC
NPI 1790420990 · Clinical Social Worker · Grandville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Rapids Integrative Therapy LLC is a Clinical Social Worker organization in Grandville, MI (NPI 1790420990).
Provider details
- NPI number
- 1790420990
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Desiree Andersen, Owner(616) 889-6602
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2025-08-31
- Certified
- 2025-08-31
Frequently asked questions
- What is Grand Rapids Integrative Therapy LLC's NPI number?
- Grand Rapids Integrative Therapy LLC's National Provider Identifier (NPI) is 1790420990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Rapids Integrative Therapy LLC?
- Grand Rapids Integrative Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Grand Rapids Integrative Therapy LLC located?
- Grand Rapids Integrative Therapy LLC's practice location on file with NPPES is 4120 Chicago Dr Sw Ste 4, Grandville, MI 49418-1281.
- What is Grand Rapids Integrative Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Rapids Integrative Therapy LLC is (616) 889-6602.
- Does Grand Rapids Integrative Therapy LLC accept Medicare?
- Grand Rapids Integrative Therapy LLC 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 Grand Rapids Integrative Therapy LLC?
- The authorized official listed on Grand Rapids Integrative Therapy LLC's NPPES record is Desiree Andersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Rapids Integrative Therapy LLC's NPI active?
- Yes — Grand Rapids Integrative Therapy LLC's NPI (1790420990) is active in the NPPES registry as of the last update on 2025-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.