NETWORK 180 CRISIS UNIT
NPI 1396404588
Community/Behavioral Health in Grand Rapids, MI

NPI Status: Active since December 15, 2021

Contact Information

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 336-3909

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 23D2029609
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 09-11-2025

About NETWORK 180 CRISIS UNIT

This page provides the complete NPI Profile along with additional information for Network 180 Crisis Unit, a provider established in Grand Rapids, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1396404588 assigned on December 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Network 180 Crisis Unit. The authorized official of this NPI record is Anthony Leslie (Behavior Health Billing Supervisor)

NPI
1396404588
Provider Legal Name
KENT COUNTY CMH AUTHORITY
Other Organization Name
NETWORK 180 CRISIS UNIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
790 FULLER AVE NE GRAND RAPIDS, MI 49503
Location Phone
(616) 336-3909
Mailing Address
790 FULLER AVE NE GRAND RAPIDS, MI 49503
Mailing Phone
(616) 336-3909
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-15-2021
Last Update Date
05-13-2024
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Location Map

Secondary Locations

  • 260 Jefferson Ave SE
    Grand Rapids, MI 49503
    (616) 336-3909

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Metro Detroit HMO Bronze Extra - HMO
  • Blue Cross� Metro Detroit HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY LESLIE

Authorized Official Title
BEHAVIOR HEALTH BILLING SUPERVISOR
Authorized Official Phone
(616) 855-5170

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2029609
Facility Type
Public Health Laboratories
Certificate Effective Date
September 12, 2023
Certificate Expiration Date
September 11, 2025
Laboratory Director
KRISTIN S. OLDENBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Network 180 Crisis Unit to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NETWORK 180 CRISIS UNIT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396404588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186808516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 8 + 0 + 8 + 5 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1396404588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ERIN MAY MA LLP LPC CAADC

Psychologist

(Counseling)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MRS. VELESSAUNIA BRIDGES-WILSON MSC, LLPC

Counselor

(Mental Health)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DENNIS DOWLING LPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

JANNA DAWDY RN

Registered Nurse

(Psychiatric/Mental Health)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

SUSAN K STAUFFER LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 862-4004

STEPHANIE DODDE

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DIANA JACKSON-WHITFIELD MA/LBSW

Social Worker

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MARLEAH BEVELACQUA LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5140

DARRYL S WEEKLEY LMSW, ACSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-8131

MRS. EMILY JANE-TAYLOR BAILEY MSW, LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DAVID G MARSHALL LPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

SARAH ELIZABETH BENJAMIN LMSW

Community/Behavioral Health

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

JAMES EDWARD ASH LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 632-5863

MRS. LAURA GUYTON LLPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MR. FREDERIC GEORGE HULCE MSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

ELBIN ABEN-ALDE ORELLANA MA, LLP

Psychologist

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5243

CARLY PETROELJE

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

KRISTIN LEIGH SPYKERMAN LMSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3765

NICOLE BROWETT

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5128

MISS SHANNON M MULLETT LMSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-8950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396404588, enumerated as an "organization" on December 15, 2021.

The provider is located at 790 FULLER AVE NE GRAND RAPIDS, MI 49503 and the phone number is (616) 336-3909.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.