OTTAWA COUNTY CMH (NPI# 1346329570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346329570 |
| Entity Type | Organization |
| Organization Name | OTTAWA COUNTY CMH |
| Other Organization Name | BCBS 1111 FULTON |
| Practice Address |
1111 Fulton St Grand Haven MI 49417-1569 |
| Mailing Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 6168425350 |
| Practice Fax Number | 6168420886 |
| Mailing Telephone | 6163935641 |
| Mailing Fax Number | 6163935687 |
| Enumeration Date | 2006-11-06 |
| 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 1111 Fulton | 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 |
| 1124192976 | Ottawa County Cmh | Community/Behavioral Health | 12265 James St, Holland, MI 49424-8613 | 2006-11-20 |
| Street Address |
1111 FULTON ST |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013939131 | Mary Elizabeth Dody Warnock | Social Worker | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2006-07-25 |
| 1407204100 | Samantha Chittenden | Social Worker | 1111 Fulton St, Grand Haven, MI 49417-1529 | 2016-06-03 |
| 1891140257 | Heather Westbrook | Social Worker | 1111 Fulton St, Grand Haven, MI 49417-1529 | 2016-05-04 |
| 1790119279 | Terri Mcpheron | Registered Nurse | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2013-09-03 |
| 1124360904 | Pamela Bayes | Case Manager/Care Coordinator | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2013-03-20 |
| 1891037529 | Karen Boeve | Registered Nurse | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2013-03-20 |
| 1932441672 | Steven Craig Huggins | Counselor | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2013-03-20 |
| 1225331846 | Paula Susan Thorndill | Social Worker | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2010-12-21 |
| 1407906753 | Jennifer R Bevington | Counselor | 1111 Fulton St, Grand Haven, MI 49417-1529 | 2007-01-11 |
| 1174546238 | Nora Jean Butcher | Social Worker | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| 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 |
|---|---|---|---|---|
| 1558872127 | Tisdel Counseling Services LLC | Community/Behavioral Health | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on OTTAWA COUNTY CMH.
| 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.