OTTAWA COUNTY CMH (NPI# 1124192976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124192976 |
| Entity Type | Organization |
| Organization Name | OTTAWA COUNTY CMH |
| Other Organization Name | BCBS 12265 JAMES STREET |
| Practice Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 6163935641 |
| Practice Fax Number | 6163935687 |
| Mailing Telephone | 6163935641 |
| Mailing Fax Number | 6163935687 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GERARD CYRANOWSKI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6163935649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| BCBS 12265 James Street | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215016449 | Ottawa County Cmh | Community/Behavioral Health | 785 W Randall St, Coopersville, MI 49404-1307 | 2006-11-06 |
| 1548339773 | Ottawa County Cmh | Community/Behavioral Health | 3100 Port Sheldon St, Hudsonville, MI 49426-9094 | 2006-11-06 |
| 1346329570 | Ottawa County Cmh | Community/Behavioral Health | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2006-11-06 |
| Street Address |
12265 JAMES ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932381 | County of Ottawa | Clinic/Center | 12265 James St, Holland, MI 49424-8613 | 2006-04-18 |
| 1225641004 | Kaeding Skelton | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2020-08-31 |
| 1528684701 | Kerri Ann Vanhorn | Case Manager/Care Coordinator | 12265 James St, Holland, MI 49424-8613 | 2020-06-23 |
| 1942822721 | Lisa Marie Fox | Counselor | 12265 James St, Holland, MI 49424-8613 | 2020-05-14 |
| 1811547714 | Tammy Loggins | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-09-13 |
| 1487219226 | Raquel Hall | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-05-07 |
| 1962976399 | Ireana Destiney | Counselor | 12265 James St, Holland, MI 49424-8613 | 2019-01-18 |
| 1063985950 | Rebecca Wyngarden | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-01-03 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1902392145 | Melody Ermatinger | Registered Nurse | 12265 James St, Holland, MI 49424-8613 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1427565779 | Kecia Gay | Community/Behavioral Health | 7015 Spring Mdws W, Holland, OH 43528-9299 | 2018-01-09 |
| 1659888568 | Sharonda Perkins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-01-02 |
| 1104336296 | Newness of Life Counseling LLC | Community/Behavioral Health | 7445 Airport Hwy Ste E, Holland, OH 43528-9544 | 2017-10-03 |
| 1992226807 | A Step Beyond | Community/Behavioral Health | 5726 Southwyck Blvd, Holland, OH 43614 | 2017-06-30 |
| 1609245893 | Susan Moore | Community/Behavioral Health | 14 Heather Valley Rd, Holland, PA 18966-2630 | 2015-09-18 |
| 1497053664 | Choices Behavioral Health Care | Community/Behavioral Health | 350 N Irwin Rd, Holland, OH 43528-8964 | 2011-03-11 |
| 1952620106 | County of Ottawa | Community/Behavioral Health | 12263 James St, Holland, MI 49424-8613 | 2010-05-27 |
| 1114165438 | Midtown Counseling Services | Community/Behavioral Health | 96 W 15th St Ste 208-9, Holland, MI 49423-3370 | 2009-01-23 |
| 1104488949 | Charis | Community/Behavioral Health | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2019-07-02 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.