KENT COUNTY CMH AUTHORITY
NPI 1194617811
Community/Behavioral Health in Grand Rapids, MI

Active since July 17, 2025
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kent County Cmh Authority NPPES

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

KENT COUNTY CMH AUTHORITY (NPI 1194617811), doing business as Network 180, is a healthcare organization registered as a community/behavioral health in Grand Rapids, Michigan and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Grand Rapids and lists Anthony Leslie, Behavioral Health Billing Superviso, as its authorized official.

NPPES Registry Identity

NPI1194617811
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKENT COUNTY CMH AUTHORITY
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Fax(616) 336-8830
Organization SubpartNo
Authorized OfficialAnthony LeslieBehavioral Health Billing Superviso · (616) 855-5170
Enumeration DateJuly 17, 2025
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1194617811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
790 FULLER AVE NE, Grand Rapids, MI 49503

Other Names 1

Doing Business AsNetwork 180

Secondary Practice Location 1

Location 1260 Jefferson Ave SEGrand Rapids, MI 49503-4597 · Phone (616) 336-3909 · Fax (616) 336-8830

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kent County Cmh Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

164

Medicare enrollment records show 164 clinicians reassign Medicare billing to Kent County Cmh Authority, which bills Medicare for the services they deliver. Of these, 58 practice at this address and 140 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker103
Psychiatry22
Nurse Practitioner19
Mental Health Counselor18
Anesthesiology1
General Practice1

Nearest to this location (20)

See all 164
Clinical Social Worker
NPI 1235731902
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1679965594
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1912567868
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
Clinical Social Worker
NPI 1831878784
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
Clinical Social Worker
NPI 1225838253
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497432108
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669042990
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033870035
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 855-8967
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1245741016
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
Mental Health Counselor
NPI 1477828986
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1235566316
790 FULLER AVE. NE
Grand Rapids, MI 49503
(616) 308-7681
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1194291559
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 855-5192
✔ PECOSSame address
Nurse Practitioner
NPI 1578316402
790 FULLER AVE NE
Grand Rapids, MI 49503
(833) 476-5837
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1205995735
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
Nurse Practitioner
NPI 1396187514
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
Psychiatry
NPI 1831683473
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1922205772
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1821083924
790 FULLER AVE NE
Grand Rapids, MI 49503
(800) 968-6866
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1831205863
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3765
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780816520
790 FULLER AVE NE
Grand Rapids, MI 49503
(616) 336-3909
✔ PECOSSame address
See all 164 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kent County Cmh Authority's NPI number?

The NPI number for Kent County Cmh Authority is 1194617811. It was assigned to this organization in the NPPES registry on July 17, 2025. The provider is doing business as Network 180.

Where is Kent County Cmh Authority located?

Kent County Cmh Authority is located at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Kent County Cmh Authority's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kent County Cmh Authority enrolled in Medicare?

Yes. Kent County Cmh Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kent County Cmh Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 6 Medicare specialties reassign their Medicare billing to Kent County Cmh Authority. A 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 the clinician's services. The largest specialties are Clinical Social Worker (103), Psychiatry (22) and Nurse Practitioner (19). Of these, 58 practice at this address and 140 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kent County Cmh Authority was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.