GENESEE COUNTY COMMUNITY MENTAL HEALTH (NPI# 1619026077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619026077 |
| Entity Type | Organization |
| Organization Name | GENESEE COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
420 W 5th Ave Flint MI 48503-2445 |
| Practice Telephone | 8107625230 |
| Practice Fax Number | 8102573775 |
| Mailing Telephone | 8107625230 |
| Mailing Fax Number | 8102573775 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY MIDDLEDITCH (OBRA SPECIALIST) |
| Authorized Official Telephone | 8107625230 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4704181048 | MI | Agencies |
| 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 |
| 1538459326 | Genesee County Community Mental Health | Preferred Provider Organization | 420 W 5th Ave, Flint, MI 48503-2445 | 2011-04-13 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1972130821 | The Serenity House of Flint | Community/Behavioral Health | 720 Ann Arbor St Ste 202, Flint, MI 48503-2696 | 2020-03-23 |
| 1861031098 | Grace Consulting Systems Inc. | Community/Behavioral Health | 2387 S Linden Rd Ste 104, Flint, MI 48532-5487 | 2020-01-06 |
| 1982267993 | New Paths, Inc. | Community/Behavioral Health | 927 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-16 |
| 1225515869 | Flint Odyssey House, Inc | Community/Behavioral Health | 1215 Martin Luther King Ave, Flint, MI 48503-1445 | 2018-07-26 |
| 1124505763 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1310 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1134606775 | Flint Odyssey House, Inc | Community/Behavioral Health | 1316 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1164780268 | Vista Center | Community/Behavioral Health | 249 Peer Ave, Flint, MI 48503-4135 | 2012-04-26 |
| 1104108828 | Centered Insight Healing, Pllc | Community/Behavioral Health | 720 Ann Arbor St, Suite 305, Flint, MI 48503-2696 | 2011-09-20 |
| 1538450267 | Flint Odyssey House Inc. | Community/Behavioral Health | 1225 M L King Ave, Flint, MI 48503-1445 | 2011-04-28 |
| Find all providers in FLINT | ||||
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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.