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DR. KATHY A CARRUTHERS LMSW
NPI 1720340367
Social Worker in Caledonia, MI

Active since June 11, 2012PECOS Enrolled
1675 84TH ST SE, CALEDONIA, MI 49316(616) 238-0159 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2021, Feb 8, 2021, Dec 8, 2020 (3 updates tracked since 2020).

About Dr. Kathy A Carruthers Lmsw NPPES

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

DR. KATHY A CARRUTHERS LMSW (NPI 1720340367) is an individual social worker in Caledonia, Michigan, licensed in Michigan (6801094220) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720340367
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDR. KATHY A CARRUTHERSCredential: LMSW
Location Address1675 84TH ST SECaledonia, MI 49316-7939
Mailing Address1125 Royal Oak St SwWyoming, MI 49509-3562
Phone(616) 238-0159
Sole ProprietorYes
Enumeration DateJune 11, 2012
Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1720340367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801094220
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1675 84TH ST SE, Caledonia, MI 49316
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathy A Tillottson

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy A Carruthers Lmsw 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 Reassignments

2

Medicare enrollment records show Kathy Carruthers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carruthers Therapy LLC
Same address
Social Worker
1675 84TH ST SE
Caledonia, MI 49316
  • Reassigned Medicare billing, Michigan enrollment
NPI 1083210843 (616) 238-0159
Pine Rest Christian Mental Health Services
2.5 mi
Social Worker
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 261 clinicians in this Medicare group
NPI 1922019157 (616) 455-5000

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

Other Providers at the Same Location NPPES

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

CARRUTHERS THERAPY LLC
Social Worker
1675 84TH ST SE
CALEDONIA, MI 49316
Kent County (616) 238-0159

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 Kathy Carruthers's NPI number?

The NPI number for Kathy Carruthers is 1720340367. It was assigned to this individual provider in the NPPES registry on June 11, 2012. The provider is also known as Kathy A Tillottson.

Where is Kathy Carruthers located?

Kathy Carruthers practices at 1675 84th St SE, Caledonia, MI 49316. The listed phone number is (616) 238-0159.

What is Kathy Carruthers's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kathy Carruthers enrolled in Medicare?

Yes. Kathy Carruthers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathy Carruthers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Carruthers reassigns Medicare benefits to 2 organizations: Carruthers Therapy LLC (Caledonia, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). Each 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 Kathy Carruthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Carruthers accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kathy Carruthers 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 Kathy Carruthers was last updated on March 19, 2024. 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.