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AUTUMN PUTNAM
NPI 1568084226
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since May 15, 2020PECOS EnrolledAccepts Medicare Assignment
1215 FULTON ST E, GRAND RAPIDS, MI 49503(616) 742-0351(616) 742-0370 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Putnam NPPES

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

AUTUMN PUTNAM (NPI 1568084226) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568084226
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAUTUMN PUTNAM
Location Address1215 FULTON ST EGrand Rapids, MI 49503-3849
Mailing Address1215 Fulton St EGrand Rapids, MI 49503-3849 · (616) 742-0351 · Fax (616) 742-0370
Phone(616) 742-0351
Fax(616) 742-0370
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1568084226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1215 FULTON ST E, Grand Rapids, MI 49503
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Other Identifiers 1

Medicaid6801106880MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.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

Autumn Putnam 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 ID1557889516
PECOS Enrollment IDI20250514001776
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 14

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

CHERRY STREET SERVICES, INC.
Family Medicine
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 459-9468
DAVID MITCHELL
Counselor (Addiction (Substance Use Disorder))
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 459-3433
PATRICK RYAN PHILLIPS LPN
Licensed Practical Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
NICOLE OSIER LLMSW
Social Worker (Clinical)
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
SALVATION ARMY TURNING POINT PROGRAMS
Substance Abuse Rehabilitation Facility
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
MARCIA LYNN MOREEN RN
Registered Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
MISS LISA MARIE BOOMERS LLPC
Counselor (Addiction (Substance Use Disorder))
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351
THOMAS PATRICK HARRISON LPN
Licensed Practical Nurse
1215 FULTON ST E
GRAND RAPIDS, MI 49503
Kent County (616) 742-0351

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 Autumn Putnam's NPI number?

The NPI number for Autumn Putnam is 1568084226. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Autumn Putnam located?

Autumn Putnam practices at 1215 Fulton St E, Grand Rapids, MI 49503. The listed phone number is (616) 742-0351.

What is Autumn Putnam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Autumn Putnam enrolled in Medicare?

Yes. Autumn Putnam 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 Autumn Putnam accept?

Health plans from Oscar Insurance Company and Priority Health list Autumn Putnam 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 Autumn Putnam was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.