| GR Therapy Group | |
|
500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 | |
| (616) 591-9000 | |
| (616) 591-9060 |
| Full Name | GR Therapy Group |
|---|---|
| Speciality | Psychologist |
| Location | 500 Cascade West Pkwy Se Ste 240, Grand Rapids, Michigan |
| Authorized Official Name and Position | Karla Schackow (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6165919000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| GR Therapy Group 500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 Ph: (616) 591-9000 | GR Therapy Group 500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 Ph: (616) 591-9000 |
| NPI Number | 1295211076 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Medicare PECOS PAC ID | 8325551112 |
|---|---|
| Medicare Enrollment ID | O20251024002829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301012067 (Michigan) | Primary |
| Provider Name | David Elwyn Thornsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356303556 PECOS PAC ID: 5890728562 Enrollment ID: I20050913001203 |
| Provider Name | Karen D Fujii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083648463 PECOS PAC ID: 9436342482 Enrollment ID: I20101021001433 |
| Provider Name | Jennifer Barabas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669884169 PECOS PAC ID: 6002198942 Enrollment ID: I20170130000054 |
| Provider Name | Jordie Vanderwal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366891319 PECOS PAC ID: 8123410396 Enrollment ID: I20220120000683 |
| Provider Name | Kayla Danielle Rotman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588175426 PECOS PAC ID: 8426422213 Enrollment ID: I20230317000925 |
| Provider Name | Justina Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285345694 PECOS PAC ID: 7214428861 Enrollment ID: I20251112001285 |
| Provider Name | Cynthia Helen Pollet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699294835 PECOS PAC ID: 8224529706 Enrollment ID: I20251112002497 |
| Provider Name | Amy Kathleen Petersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750067823 PECOS PAC ID: 9830680628 Enrollment ID: I20251119003138 |
| Provider Name | Jordan Alexis Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457108318 PECOS PAC ID: 3173015526 Enrollment ID: I20251122001235 |
| Provider Name | Mary Thornsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033714308 PECOS PAC ID: 5698288488 Enrollment ID: I20251202000382 |
| Provider Name | Anne Behler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881244507 PECOS PAC ID: 0042703050 Enrollment ID: I20251208000241 |
| Provider Name | Jenny Lynn Chien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891946554 PECOS PAC ID: 0840784401 Enrollment ID: I20251210004033 |
| Provider Name | Kerry Linn Huver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619191921 PECOS PAC ID: 8921592379 Enrollment ID: I20251212000494 |
| Provider Name | Scott Nuismer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508248873 PECOS PAC ID: 7517452634 Enrollment ID: I20251216004064 |
| Provider Name | Trisha Nichole Tanis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063016046 PECOS PAC ID: 5092201970 Enrollment ID: I20251230002317 |
| Provider Name | Julia Chohee Burgoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245014935 PECOS PAC ID: 9739660366 Enrollment ID: I20260223000922 |
| Provider Name | Hannah Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104279876 PECOS PAC ID: 7416432984 Enrollment ID: I20260402000158 |
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