Provider Demographics
NPI:1427294909
Name:RAPPLEYE, MARCIA (BS)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:RAPPLEYE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 UNION AVE SE STE A
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49507-3247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:844-525-7550
Practice Address - Street 1:2080 UNION AVE SE STE A
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-3247
Practice Address - Country:US
Practice Address - Phone:616-350-7781
Practice Address - Fax:844-525-7550
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68030575831041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1712452Medicaid
MI20386Medicare UPIN
MI750910517Medicare UPIN
MI750910532Medicare UPIN
MI20378Medicare UPIN
MI750910524Medicare UPIN
MI20351Medicare UPIN
MI750910530Medicare UPIN
MI750910527Medicare UPIN
MI20366Medicare UPIN
MIOP22320Medicare PIN
MI750910519Medicare UPIN
MI1712452Medicaid