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MARILYN SHANTEY BUFORD
NPI 1649049024
Counselor in Grand Rapids, MI

Active since December 27, 2023PECOS EnrolledAccepts Medicare Assignment
755 36TH ST SE, GRAND RAPIDS, MI 49548(616) 301-8000 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marilyn Shantey Buford NPPES

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

MARILYN SHANTEY BUFORD (NPI 1649049024) is an individual counselor in Grand Rapids, Michigan and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649049024
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARILYN SHANTEY BUFORD
Location Address755 36TH ST SEGrand Rapids, MI 49548-2319
Mailing Address755 36th St SeGrand Rapids, MI 49548-2319
Phone(616) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1649049024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
755 36TH ST SE, Grand Rapids, MI 49548
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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

Marilyn Shantey Buford 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 ID8325515570
PECOS Enrollment IDI20260425000223
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.

JANELL JORDAN-ODIOKO
Registered Nurse
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 301-8000
SAMANTHA KERSMAN
Assistant Behavior Analyst
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 301-8000
ALLISON MARIE DEGOEDE
Social Worker
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 301-8000
RONALD HOOGERWERF
Rehabilitation Practitioner
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 726-5186
TRISHA ROSE ANCEL
Case Manager/Care Coordinator
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 726-1124
MR. DWIGHT A LAFLEUR MA
Social Worker (Clinical)
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 248-5127
ELIZABETH REYNOLDS
Social Worker (Clinical)
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 726-5144
AMANDA LYNN LEDFORD LMSW
Social Worker (Clinical)
755 36TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 301-8000

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 Marilyn Buford's NPI number?

The NPI number for Marilyn Buford is 1649049024. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Marilyn Buford located?

Marilyn Buford practices at 755 36th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 301-8000.

What is Marilyn Buford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Marilyn Buford enrolled in Medicare?

Yes. Marilyn Buford 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.

When was this NPI record last updated?

The NPPES record for Marilyn Buford was last updated on December 27, 2023. 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.