KHALIA RENITA TWORK LLPC
NPI 1417371337
Counselor - Mental Health in Grand Rapids, MI

Active since February 12, 2014PECOS EnrolledAccepts Medicare Assignment
3501 LAKE EASTBROOK BLVD SE, SUITE 258, GRAND RAPIDS, MI 49546(616) 295-7614 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khalia Renita Twork Llpc NPPES

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

KHALIA RENITA TWORK LLPC (NPI 1417371337) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401013477) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417371337
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHALIA RENITA TWORKCredential: LLPC
Location Address3501 LAKE EASTBROOK BLVD SE, SUITE 258Grand Rapids, MI 49546-5938
Mailing Address3501 Lake Eastbrook Blvd Se, Suite 258Grand Rapids, MI 49546-5938 · (616) 295-7614
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 12, 2014
NPI 1417371337 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 · 6401013477
3501 LAKE EASTBROOK BLVD SE, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Khalia Renita Daniels Llpc

Accepted 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

Khalia Renita Twork Llpc 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 ID6103335120
PECOS Enrollment IDI20250602002192
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.

Psychologist (Clinical)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Counselor (Professional)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Psychologist
3501 LAKE EASTBROOK BLVD SE, #258
GRAND RAPIDS, MI 49546
Counselor (Professional)
3501 LAKE EASTBROOK BLVD SE, SUITE 146
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
3501 LAKE EASTBROOK BLVD SE, SUITE 262
GRAND RAPIDS, MI 49546
Counselor (Professional)
3501 LAKE EASTBROOK BLVD SE, SUITE #140
GRAND RAPIDS, MI 49546

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 Khalia Twork's NPI number?

The NPI number for Khalia Twork is 1417371337. It was assigned to this individual provider in the NPPES registry on February 12, 2014. The provider is also known as Khalia Renita Daniels Llpc.

Where is Khalia Twork located?

Khalia Twork practices at 3501 Lake Eastbrook Blvd SE Suite 258, Grand Rapids, MI 49546. The listed phone number is (616) 295-7614.

What is Khalia Twork's specialty?

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

Is Khalia Twork enrolled in Medicare?

Yes. Khalia Twork 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 Khalia Twork accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Khalia Twork 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 Khalia Twork was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.