GENESEE COUNTY COMMUNITY MENTAL HEALTH (NPI# 1538459326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538459326 |
| Entity Type | Organization |
| Organization Name | GENESEE COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
420 W 5th Ave Flint MI 48503-2445 |
| Practice Telephone | 8102573700 |
| Mailing Telephone | 8102573700 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | TAKIYAH JACKSON (PSYCHOLOGIST) |
| Authorized Official Telephone | 8105965348 |
| Authorized Official Credential | TLLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 6301014667 | MI | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285781732 | Genesee County Community Mental Health | Case Management | 705 S Dort Hwy, Flint, MI 48503-2852 | 2007-01-05 |
| 1750656179 | Genesee County Community Mental Health | Case Management | 420 W Fifth Avenue, Flint, MI 48503-2445 | 2012-03-19 |
| 1184995789 | Genesee County Community Mental Health | Case Management | 725 Mason St, Flint, MI 48503-2421 | 2012-01-13 |
| 1659674059 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-12-08 |
| 1528369865 | Genesee County Community Mental Health | Community/Behavioral Health | 1102 Mackin Rd, Flint, MI 48503-1204 | 2010-11-03 |
| 1912225111 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-05-12 |
| 1821316027 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-05-12 |
| 1437208626 | Genesee County Community Mental Health | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-09 |
| 1619026077 | Genesee County Community Mental Health | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-08 |
| 1609924992 | Genesee County Community Mental Health | Case Management | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-05 |
| Street Address |
420 W 5TH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115460 | County of Genesee Office of Controller | Preventive Medicine | 420 W 5th Ave, Flint, MI 48503 | 2005-12-20 |
| 1245837640 | Angela Marie Strom | Registered Nurse | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1841897246 | Avalena Ann Lessard | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1891309258 | Dawn Michelle Smith | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-09-03 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1811515018 | Tashara Monique Ewing | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-14 |
| 1265053508 | Kaleea Preuss-harper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-04-28 |
| 1285269969 | Richard L Neenan IIi | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-03-03 |
| 1518590405 | Erik Kahn | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-02-19 |
| 1346870961 | Lanora Cooper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137592 | Rehabpros LLC | Preferred Provider Organization | 6757 Cascade Rd Se # 136, Grand Rapids, MI 49546-6849 | 2020-06-01 |
| 1013536150 | Najai R Beck | Preferred Provider Organization | 6333 Colorado St, Romulus, MI 48174-1819 | 2020-04-09 |
| 1174161178 | Nile Construction LLC | Preferred Provider Organization | 6729 Pelham Rd, Allen Park, MI 48101-2340 | 2019-12-20 |
| 1346723608 | Home Health Pro, LLC | Preferred Provider Organization | 30200 Telegraph Rd Ste 131, Bingham Farms, MI 48025-4577 | 2018-09-12 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1104362938 | Maternal Instinct Doulas | Preferred Provider Organization | 4899 Underwood St, Detroit, MI 48204-2126 | 2017-01-18 |
| 1942750740 | Hope Network | Preferred Provider Organization | 1127 Wealthy St Se, #3, Grand Rapids, MI 49506-1598 | 2016-10-05 |
| 1760830368 | Michigan Health Preference LLC | Preferred Provider Organization | 16000 W 9 Mile Rd Ste 303, Southfield, MI 48075 | 2016-05-25 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| 1154777183 | Desiree Santiago | Preferred Provider Organization | 517 Graten St, Birmingham, MI 48009-6519 | 2016-05-09 |
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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.