OTTAWA COUNTY CMH (NPI# 1548339773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339773 |
| Entity Type | Organization |
| Organization Name | OTTAWA COUNTY CMH |
| Other Organization Name | BCBS 3100 PORT SHELDON |
| Practice Address |
3100 Port Sheldon St Hudsonville MI 49426-9094 |
| Mailing Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 6166696160 |
| Practice Fax Number | 6166690666 |
| 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 3100 Port Sheldon | 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 |
| 1124192976 | Ottawa County Cmh | Community/Behavioral Health | 12265 James St, Holland, MI 49424-8613 | 2006-11-20 |
| 1346329570 | Ottawa County Cmh | Community/Behavioral Health | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2006-11-06 |
| Street Address |
3100 PORT SHELDON ST |
| City | HUDSONVILLE |
| State | MI |
| Zip Code | 49426-9094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
| 1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
| 1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
| 1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
| 1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
| 1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
| 1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
| 1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
| Find all providers in zip 49426 | ||||
| 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 |
|---|---|---|---|---|
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 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 |
| 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 |
| 1174139968 | Great Lakes Teletherapy | Community/Behavioral Health | 707 W Liberty St, Ann Arbor, MI 48103-4348 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | HUDSONVILLE |
| Zip Code | 49426 |
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.