Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Cherry Street Services, Inc

Federally Qualified Health Center (FQHC) in Grand Rapids, MI · enumerated 2023 · authorized official Tasha Blackmon, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609555218

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Registry record

Entity type Organization (Type 2)

Legal business name Cherry Street Services, Inc

Parent organization Cherry Street Services, Inc

Practice address 50 35th St Sw, Grand Rapids, MI, 49548

Phone (616) 965-8200

Enumeration date Jul 12, 2023

Last updated in NPPES Jul 12, 2023

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary

101YS0200X School Counselor Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

1041S0200X School Social Worker Behavioral Health & Social Service Providers Secondary

122300000X Dentist Dental Providers Secondary

124Q00000X Dental Hygienist Dental Providers Secondary

125J00000X Dental Therapist Dental Providers Secondary

126800000X Dental Assistant Dental Providers Secondary

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary

152W00000X Optometrist Eye and Vision Services Providers Secondary

163WS0200X School Registered Nurse Nursing Service Providers Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Tasha Blackmon

Title Ceo

Phone (616) 965-8200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Cherry Street Services, Inc located?

The practice location on file with NPPES is in Grand Rapids, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-07-12. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Elise Mitchell Clinical Social Worker · Grand Rapids, MI NPI 1861979635 Herendira Castillo-Campa Community Health Worker · Grand Rapids, MI NPI 1255191995

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-12.