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MS. NAOMI BETH GRIMM
NPI 1124892955
Counselor - Mental Health in Byron Center, MI

Active since November 13, 2023PECOS Enrolled
7791 BYRON CENTER AVE SW, BYRON CENTER, MI 49315(616) 499-4711(888) 336-9355 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2026, Nov 13, 2023 (2 updates tracked since 2023).

About Ms. Naomi Beth Grimm NPPES

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

MS. NAOMI BETH GRIMM (NPI 1124892955) is an individual mental health provider in Byron Center, Michigan, licensed in Michigan (6401226495) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Byron Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124892955
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. NAOMI BETH GRIMM
Location Address7791 BYRON CENTER AVE SWByron Center, MI 49315-8412
Mailing Address1310 Alexander St SeGrand Rapids, MI 49506-3219 · (616) 209-8669 · Fax (888) 336-9355
Phone(616) 499-4711
Fax(888) 336-9355
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1124892955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401226495
7791 BYRON CENTER AVE SW, Byron Center, MI 49315
Open in Google Maps ↗

Other Names 1

Former Name (1)Naomi Beth Daniels

Secondary Practice Location 1

Location 12465 Byron Station Dr SWByron Center, MI 49315-9482 · Phone (616) 499-4711 · Fax (888) 336-9355

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Naomi Beth Grimm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628538345
PECOS Enrollment IDI20260902000725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Naomi Grimm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amplified Life Network, LLC
Same address
Professional
7791 BYRON CENTER AVE SW
Byron Center, MI 49315
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1558713388 (616) 724-6943

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 19

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

LYLE L. LABARDEE LPC
Counselor (Professional)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 724-6943
LEAH AREN LORD LMSW
Social Worker
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 499-4711
NICK VANZALEN LLPC
Counselor (Professional)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 499-4711
SABREEN RAE POLAVIN LMSW
Social Worker (Clinical)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 499-4711
BRANDON THOMAS HASSEVOORT LMSW
Social Worker (Clinical)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 219-0564
CAITLIN TREZISE
Social Worker (Clinical)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 499-4711
MR. ROBERT GERARD JOHNSON SR. LPC, SPADA, CAAC
Counselor (Professional)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 499-4711
DANIELLE KRAAI LLPC
Counselor (Mental Health)
7791 BYRON CENTER AVE SW
BYRON CENTER, MI 49315
Kent County (616) 218-5810

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 Naomi Grimm's NPI number?

The NPI number for Naomi Grimm is 1124892955. It was assigned to this individual provider in the NPPES registry on November 13, 2023. The provider is also known as Naomi Beth Daniels.

Where is Naomi Grimm located?

Naomi Grimm practices at 7791 Byron Center Ave SW, Byron Center, MI 49315. The listed phone number is (616) 499-4711.

What is Naomi Grimm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Naomi Grimm enrolled in Medicare?

Yes. Naomi Grimm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Naomi Grimm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Grimm reassigns Medicare benefits to Amplified Life Network, LLC (Byron Center, 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 Naomi Grimm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naomi Grimm accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Naomi Grimm 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 Naomi Grimm was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.