LEONARD STREET COUNSELING CENTER
NPI 1043592629
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since September 09, 2011
1400 LEONARD STREET NE, GRAND RAPIDS, MI 49505(616) 954-1991(616) 954-1998 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leonard Street Counseling Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARD STREET COUNSELING CENTER (NPI 1043592629) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since September 2011. The organization lists Tasha Blackmon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043592629
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHERRY STREET SERVICES INC
Location Address1400 LEONARD STREET NEGrand Rapids, MI 49505-5515
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4748 · (616) 965-8200
Fax(616) 954-1998
Organization SubpartYes
Authorized OfficialTasha BlackmonExecutive Director · (616) 776-2121
Enumeration DateSeptember 9, 2011
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1043592629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
1400 LEONARD STREET NE, Grand Rapids, MI 49505

Other Names 1

Doing Business AsLeonard Street Counseling Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1400 LEONARD STREET NE
GRAND RAPIDS, MI 49505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cherry Street Services Inc's NPI number?

The NPI number for Cherry Street Services Inc is 1043592629. It was assigned to this organization in the NPPES registry on September 9, 2011. The provider is doing business as Leonard Street Counseling Center.

Where is Cherry Street Services Inc located?

Cherry Street Services Inc is located at 1400 Leonard Street NE, Grand Rapids, MI 49505. The listed phone number is (616) 954-1991.

What is Cherry Street Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Cherry Street Services Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Cherry Street Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cherry Street Services Inc was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.