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TENDAI MASIRIRI LLMSW
NPI 1639291396
Social Worker - Clinical in Grand Rapids, MI

Active since April 04, 2007PECOS Enrolled
1331 LAKE DR SE, GRAND RAPIDS, MI 49506(616) 459-7215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tendai Masiriri Llmsw NPPES

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

TENDAI MASIRIRI LLMSW (NPI 1639291396) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801085669) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639291396
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTENDAI MASIRIRICredential: LLMSW
Location Address1331 LAKE DR SEGrand Rapids, MI 49506-1674
Mailing Address2943 Wingate Dr SeKentwood, MI 49512-8096 · (616) 975-0882
Phone(616) 459-7215
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639291396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801085669
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.
1331 LAKE DR SE, Grand Rapids, MI 49506
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tendai Masiriri Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tendai Masiriri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,224 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

RYAN SANDERS GARY PT, DPT
Physical Therapist
1331 LAKE DR SE, SUITE 105
GRAND RAPIDS, MI 49506
Kent County (616) 248-9842
MR. JOHN M MATIAS M.A.
Counselor
1331 LAKE DR SE
GRAND RAPIDS, MI 49506
Kent County (616) 459-7215
ROBERT BRUCE OLMAN LMSW
Social Worker
1331 LAKE DR SE
GRAND RAPIDS, MI 49506
Kent County (616) 459-7215
GAIL ANN O'ROURKE M.A., CCC-SLP
Speech-Language Pathologist
1331 LAKE DR SE, SUITE 105
GRAND RAPIDS, MI 49506
Kent County (616) 447-7799
MRS. JODI MARIE DOUSE OTRL
Occupational Therapist
1331 LAKE DR SE
GRAND RAPIDS, MI 49506
Kent County (616) 447-7799
DAVID WILLARD BERGSMA M.A.
Social Worker (Clinical)
1331 LAKE DR SE
GRAND RAPIDS, MI 49506
Kent County (616) 459-7215
ADAM LONG PT, DPT
Physical Therapist
1331 LAKE DR SE, SUITE 105
GRAND RAPIDS, MI 49506
Kent County (616) 248-9842
MS. BARBARA ANN WILLIAMS M.S., LPC
Counselor (Professional)
1331 LAKE DR SE
GRAND RAPIDS, MI 49506
Kent County (616) 459-7215

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 Tendai Masiriri's NPI number?

The NPI number for Tendai Masiriri is 1639291396. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Tendai Masiriri located?

Tendai Masiriri practices at 1331 Lake Dr SE, Grand Rapids, MI 49506. The listed phone number is (616) 459-7215.

What is Tendai Masiriri's specialty?

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

Is Tendai Masiriri enrolled in Medicare?

Yes. Tendai Masiriri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tendai Masiriri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tendai Masiriri reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tendai Masiriri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tendai Masiriri accept?

Health plans from Ambetter Health, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BridgeSpan Health Company and Oscar Insurance Company and 3 other insurers list Tendai Masiriri 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 Tendai Masiriri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.