MCKENZIE TENHAGEN
NPI 1801514427
Peer Specialist in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since August 19, 2022

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 915-7426 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mckenzie Tenhagen NPPES

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

MCKENZIE TENHAGEN (NPI 1801514427) is an individual peer specialist in Grand Rapids, Michigan and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1801514427

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMCKENZIE TENHAGEN

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 915-7426

Phone(616) 915-7426

Sole ProprietorNo

Enumeration DateAugust 19, 2022

NPPES CertifiedAugust 17, 2022

✔ NPI 1801514427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

790 FULLER AVE NE, Grand Rapids, MI 49503

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

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