WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM (NPI# 1376017889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376017889 |
| Entity Type | Organization |
| Organization Name | WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM |
| Practice Address |
920 Diana St Ludington MI 49431-1987 |
| Practice Telephone | 2318456294 |
| Practice Fax Number | 2318457095 |
| Mailing Telephone | 2318456294 |
| Mailing Fax Number | 2318457095 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | LISA AUDREY WILLIAMS (EXECTIVE DIRECTOR) |
| Authorized Official Telephone | 2318456294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646309 | West Michigan Community Mental Health System | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2006-08-15 |
| 1437537347 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2015-05-12 |
| 1700103488 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2010-04-21 |
| 1891833919 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM | 920 Diana Ave, Ludington, MI 49431-1987 |
| Street Address |
920 DIANA ST |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646309 | West Michigan Community Mental Health System | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2006-08-15 |
| 1174121255 | Ana Mccallum | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2020-10-12 |
| 1366074072 | Haleigh Mcnally | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1659903375 | Alexa Schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1922642214 | Amanda Vanduinen | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-10-30 |
| 1346892379 | Lori Mae Stakenas-schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2019-07-10 |
| 1528623782 | Sara Hutchinson | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-05-03 |
| 1407317944 | Kylie Petzak | Registered Nurse | 920 Diana St, Ludington, MI 49431-1987 | 2019-03-27 |
| 1912479544 | Mary Raymond | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2018-12-20 |
| 1790257327 | Erika Reinhardt | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.