COMMUNITY COUNSELING AND MENTORING SERVICES (NPI# 1376741165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376741165 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING AND MENTORING SERVICES |
| Practice Address |
312 Superior Mall Port Huron MI 48060-3833 |
| Practice Telephone | 8109872681 |
| Practice Fax Number | 8109872784 |
| Mailing Telephone | 8109872681 |
| Mailing Fax Number | 8109872784 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | MRS. KAREN ANN GAVIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8109872681 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401005551 | MI | Agencies |
| Street Address |
312 SUPERIOR MALL |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295882702 | Lisa Marie Stoneberg | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2007-01-05 |
| 1598993560 | Sarah Elizabeth Partipilo | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2009-06-29 |
| 1811138340 | Alana Dee Gavin | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2009-03-12 |
| 1932348620 | Community Counseling & Mentoring Services | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2009-02-19 |
| 1376715920 | Kari Ann Diaz | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2008-03-24 |
| 1568653772 | Tricia Lynn Kosal | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2007-08-05 |
| 1497950174 | Debora Lynne Hutchins | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2007-06-20 |
| 1457556128 | Carls Marie Legere | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2007-06-20 |
| 1770631319 | Lisa Sue Abel | Counselor | 312 Superior Mall, Port Huron, MI 48060-3833 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1215395850 | Zoe Counseling and Consulting, Pllc | Community/Behavioral Health | 3003 Moak St, Port Huron, MI 48060-6845 | 2016-02-10 |
| 1194112771 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1431 Lapeer Ave, Port Huron, MI 48060-4277 | 2015-04-21 |
| 1396131629 | Flint Odyssey House, Inc | Community/Behavioral Health | 2414 Petit St, Port Huron, MI 48060-7446 | 2015-04-14 |
| 1790130805 | Christina Meyers | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2016-04-26 |
| 1023447729 | Keeley Stewart | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2013-11-04 |
| 1518205798 | Bridge Builders Counseling & Mentoring, Inc. | Community/Behavioral Health | 1220 6th St, Port Huron, MI 48060-5349 | 2013-01-23 |
| 1295083723 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2012-08-15 |
| 1053590935 | St. Clair County Sheriff | Community/Behavioral Health | 1170 Michigan Rd, Port Huron, MI 48060-4658 | 2007-10-29 |
| 1316151384 | St. Clair County Health Department | Community/Behavioral Health | 3415 28th St, Port Huron, MI 48060 | 2007-05-09 |
| 1891828158 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 1406 8th St, Port Huron, MI 48060-5804 | 2007-03-14 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on COMMUNITY COUNSELING AND MENTORING SERVICES.
| 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.