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TIERRA YOUNGBLOOD-FIELD
NPI 1346757762
Counselor - Professional in Grand Rapids, MI

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Jul 16, 2022, Dec 31, 2019 and 4 more (7 updates tracked since 2018).

About Tierra Youngblood-field NPPES

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

TIERRA YOUNGBLOOD-FIELD (NPI 1346757762) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401017826) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346757762
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIERRA YOUNGBLOOD-FIELD
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
Phone(616) 336-3909
Fax(616) 336-8830
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateMay 15, 20247 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1346757762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401017826
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4101006746 (MI), 4101007120 (MI)
790 FULLER AVE NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Tierra Youngblood

Secondary Practice Location 1

Location 11345 Monroe Ave NW Ste 234Grand Rapids, MI 49505-4692 · Phone (616) 420-1060

Other Identifiers 1

Medicaid1346757762MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tierra Youngblood-field is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709262207
PECOS Enrollment IDI20240524000906
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.

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.

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

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 Tierra Youngblood-field's NPI number?

The NPI number for Tierra Youngblood-field is 1346757762. It was assigned to this individual provider in the NPPES registry on January 8, 2018. The provider is also known as Tierra Youngblood.

Where is Tierra Youngblood-field located?

Tierra Youngblood-field practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Tierra Youngblood-field's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tierra Youngblood-field enrolled in Medicare?

Yes. Tierra Youngblood-field is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tierra Youngblood-field accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan list Tierra Youngblood-field 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 Tierra Youngblood-field was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.