GREAT LAKES MINDFULNESS LLC (NPI# 1124519780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124519780 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES MINDFULNESS LLC |
| Other Organization Name | GREAT LAKES MINDFULNESS |
| Practice Address |
4007 Carpenter Rd # 280 Ypsilanti MI 48197 |
| Mailing Address |
4007 Carpenter Rd # 280 Ypsilanti MI 48197-9644 |
| Practice Telephone | 7347148800 |
| Mailing Telephone | 7347148800 |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | AMALIA BRIGGS (CEO) |
| Authorized Official Telephone | 7347148800 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Great Lakes Mindfulness | Doing Business As Name - Organization |
| Street Address |
4007 CARPENTER RD # 280 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| 1326599556 | Jodi Schumacher | Specialist/Technologist | 318j John W Porter Bldg, Eastern Michigan University, Ypsilanti, MI 48197 | 2016-10-24 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1245759448 | Laura Jennings, Lmsw, Pllc | Community/Behavioral Health | 2050 1/2 Washtenaw Rd, Ypsilanti, MI 48197-2065 | 2017-09-19 |
| 1407244601 | Programs To Educate All Cyclists | Community/Behavioral Health | 110 N River St, Ypsilanti, MI 48198-2807 | 2014-12-23 |
| 1235403338 | Foster Family Services | Community/Behavioral Health | 1375 S Harris Rd, Ypsilanti, MI 48198-6516 | 2012-03-07 |
| 1306125372 | Reginald A Dalton | Community/Behavioral Health | 1075 Gault Dr, Ypsilanti, MI 48198-6427 | 2011-08-09 |
| 1033414305 | Belaka Care Inc | Community/Behavioral Health | 4838 Lakeridge St Apt 1b, Ypsilanti, MI 48197-1410 | 2011-01-18 |
| 1861796815 | Rhodes Senior Consulting Services LLC | Community/Behavioral Health | 5612 High Ridge Dr, Ypsilanti, MI 48197-6758 | 2011-01-05 |
| 1457686230 | Dawn, Inc | Community/Behavioral Health | 6633 Stony Creek Rd, Ypsilanti, MI 48197-6609 | 2009-10-12 |
| 1740751940 | Whole Me Counseling, LLC | Community/Behavioral Health | 1606 S Huron St Unit 970392, Ypsilanti, MI 48197-7713 | 2018-12-16 |
| 1063968584 | Anchor Consulting Services | Community/Behavioral Health | 1012 W Cross St, Ypsilanti, MI 48197-2103 | 2016-08-26 |
| 1427427814 | Intentional Counseling Services | Community/Behavioral Health | 3150 Packard Rd, Ypsilanti, MI 48197-1994 | 2015-09-16 |
| Find all providers in YPSILANTI | ||||
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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.