Tabitha Nye
Counselor, Mental Health in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1336710698
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1336710698
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Nye
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
120 Stevens St SwGrand Rapids, MI 49507-1526
Phone 855-832-6727
Mailing address
120 Stevens St SwGrand Rapids, MI 49507-1526
Phone 269-389-9102
Other practice locations
5943 Stadium Dr
Kalamazoo, MI 49009-3016
Kalamazoo, MI 49009-3016
Phone 269-389-9102
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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