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KHAIRUN ROSHNEE HASAN
NPI 1861164345
Counselor - Mental Health in Grand Rapids, MI

Active since October 02, 2021
1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 309-6931 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khairun Roshnee Hasan NPPES

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

KHAIRUN ROSHNEE HASAN (NPI 1861164345) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (H250468744866) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1861164345
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHAIRUN ROSHNEE HASAN
Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address1985 Eldon St NeGrand Rapids, MI 49525-6133 · (616) 309-6931
Phone(616) 309-6931
Sole ProprietorYes
Enumeration DateOctober 2, 2021
NPPES CertifiedOctober 2, 2021
✔ NPI 1861164345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · H250468744866
1115 BALL AVE NE, Grand Rapids, MI 49505
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Other Providers at the Same Location NPPES 20

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

JAMIE MARIE HENSON BSW
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 240-1990
KATHARINE ELISABETH DANIELS
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
TODD JOHNSON
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
JOHN HUNT
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-7775
TAYLOR BERGBOWER
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-1443
MRS. KELLY SUE BOPRIE LMSW
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Kent County (616) 459-7215
KATHLEEN MONROE
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
EMILY SALZMAN LMSW
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 451-3001

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 Khairun Hasan's NPI number?

The NPI number for Khairun Hasan is 1861164345. It was assigned to this individual provider in the NPPES registry on October 2, 2021.

Where is Khairun Hasan located?

Khairun Hasan practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 309-6931.

What is Khairun Hasan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Khairun Hasan was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.