GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI# 1396396180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396396180 |
| Entity Type | Organization |
| Organization Name | GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Practice Address |
103 W Us Highway 2 Wakefield MI 49968-9515 |
| Practice Telephone | 9062296100 |
| Practice Fax Number | 9062296191 |
| Mailing Telephone | 9062296100 |
| Mailing Fax Number | 9062296191 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | LISA HEGBLOOM (REIMBURSEMENT OFFICER) |
| Authorized Official Telephone | 9062296111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957143 | Gogebic County Community Mental Health Authority | Psychologist | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2006-05-10 |
| Street Address |
103 W US HIGHWAY 2 |
| City | WAKEFIELD |
| State | MI |
| Zip Code | 49968-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957143 | Gogebic County Community Mental Health Authority | Psychologist | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2006-05-10 |
| 1396359048 | Jenna Fingeroos | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-09-01 |
| 1760013460 | Kristina Leeann Potesta | Case Manager/Care Coordinator | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-01-31 |
| 1568092500 | Miranda Anderson | Case Manager/Care Coordinator | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-01-17 |
| 1144879636 | Lew Laukka | Registered Nurse | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2019-09-06 |
| 1417445982 | Kenneth Hansen | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2018-04-30 |
| 1548776081 | Daniel Peter Tibaldo | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-20 |
| 1194231035 | Leah Ruth Nikula | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-14 |
| 1942715867 | Laurie Ann Niemi | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-14 |
| 1215442140 | Richard Jay Maher | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881085017 | Gina Cummings | Registered Nurse | 103 W Us2, Wakefield, MI 49968 | 2015-02-10 |
| 1790906675 | Robert Wester Aukee | Dentist | 411 Brotherton St, Wakefield, MI 49968 | 2007-05-01 |
| 1508925884 | William Smith Malloy Jr. | Social Worker | 103 West U.S. 2, Wakefield, MI 49968 | 2006-12-06 |
| 1124239975 | Diane Frances Hill | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-24 |
| 1447467311 | Barbra B Braithwaite | Psychologist | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1346457363 | Michael D Rubatt | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1932277407 | Michael J Gregor | Dentist | 606 Putnam St, Wakefield, MI 49968-1024 | 2006-12-01 |
| 1164661708 | Laura Ann Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-04 |
| 1427297001 | Scott D Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-05 |
| 1528073145 | Wakefield Pharmacy Enterprises Ltd | Pharmacy | 408 Sunday Lake St, Wakefield, MI 49968-1338 | 2006-07-30 |
| Find all providers in zip 49968 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1396269411 | Prevention Partners, LLC | Clinic/Center | 301 Edgewater Pl Ste 100, Wakefield, MA 01880-1281 | 2017-07-31 |
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| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
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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.