Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILLOW RIVER THERAPY, LLC
NPI 1285539676
Social Worker - Clinical in Grand Rapids, MI

Active since October 14, 2026
330 E BELTLINE AVE NE STE 300, GRAND RAPIDS, MI 49506(616) 330-4988 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willow River Therapy, Llc NPPES

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

WILLOW RIVER THERAPY, LLC (NPI 1285539676) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since October 2026. The organization lists Tara Pummell Henderson, Outpatient Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1285539676
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW RIVER THERAPY, LLC
Location Address330 E BELTLINE AVE NE STE 300Grand Rapids, MI 49506-1267
Mailing Address330 E Beltline Ave Ne Ste 300Grand Rapids, MI 49506-1267 · (616) 334-9880
Organization SubpartNo
Authorized OfficialTara Pummell HendersonOutpatient Therapist/owner · (989) 745-4714
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1285539676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
330 E BELTLINE AVE NE STE 300, Grand Rapids, MI 49506

Other Providers at the Same Location NPPES 16

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

Social Worker
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506
Counselor (Mental Health)
330 E BELTLINE AVE NE STE 300
GRAND RAPIDS, MI 49506

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 Willow River Therapy, LLC's NPI number?

The NPI number for Willow River Therapy, LLC is 1285539676. It was assigned to this organization in the NPPES registry on October 14, 2026.

Where is Willow River Therapy, LLC located?

Willow River Therapy, LLC is located at 330 E Beltline Ave NE Ste 300, Grand Rapids, MI 49506. The listed phone number is (616) 330-4988.

What is Willow River Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Willow River Therapy, LLC was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.