ARIANA GABRIELLE DEHERDER
NPI 1124631338
Social Worker in Grand Rapids, MI
About Ariana Gabrielle Deherder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIANA GABRIELLE DEHERDER (NPI 1124631338) is an individual social worker in Grand Rapids, Michigan and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ariana Gabrielle Deherder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ariana Deherder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, MI 48170
- Reassigned Medicare billing, Michigan enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ariana Deherder's NPI number?
The NPI number for Ariana Deherder is 1124631338. It was assigned to this individual provider in the NPPES registry on August 26, 2020.
Where is Ariana Deherder located?
Ariana Deherder practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.
What is Ariana Deherder's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Ariana Deherder enrolled in Medicare?
Yes. Ariana Deherder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ariana Deherder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ariana Deherder reassigns Medicare benefits to Simply Mindful Counseling, LLC (Plymouth, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ariana Deherder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ariana Deherder accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ariana Deherder 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 Ariana Deherder was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ariana Gabrielle Deherder · NPI 1124631338
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 26, 2020.
## Identity
- **NPI:** 1124631338 (Entity type: Individual)
- **Enumerated:** August 26, 2020
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1115 BALL AVE NE, Grand Rapids, MI 49505-5904
- **Phone:** (616) 456-6571
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Simply Mindful Counseling, LLC (NPI 1851900302, Plymouth, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124631338) · Data from the CMS NPPES public registry.