Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cherry Street Services, Inc

Organization Mental Health Counselor · NPI 1558459164

Cherry Street Services, Inc is a Mental Health Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
13
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone: (616) 235-7289
Fax: (616) 235-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Mental Health Counselor Taxonomy 101YM0800X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Social Worker Taxonomy 104100000X (MI)
Dentist Taxonomy 122300000X
Registered Dietitian Taxonomy 133V00000X
Registered Nurse Taxonomy 163W00000X (MI)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Ophthalmology Physician Taxonomy 207W00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1558459164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasha Blackmon — Ceo · (616) 965-8215
Other names Cherry Street Health Services; Cherry Street Health Services
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 7, 2018
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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