ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI# 1821133265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821133265 |
| Entity Type | Organization |
| Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Other Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SOUTH-MARINE CITY |
| Practice Address |
135 Broadway St Marine City MI 48039-1607 |
| Practice Telephone | 8107655010 |
| Mailing Telephone | 8107655010 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | DEBRA B JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8109858900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4349015 | 05 | |
| MI | 1708164 | 05 |
| Other Name | Type Code |
|---|---|
| St Clair County Community Mental Health South-Marine City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306981675 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 14675 Downey Rd, Capac, MI 48014-3016 | 2007-02-21 |
| 1295083723 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2012-08-15 |
| 1134254394 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2007-02-21 |
| 1851436109 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-02-21 |
| 1689783672 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-08-30 |
| Street Address |
135 BROADWAY ST |
| City | MARINE CITY |
| State | MI |
| Zip Code | 48039-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535933 | St Clair County Community Mental Health Sud Services - Marine City | Clinic/Center | 135 Broadway St, Marine City, MI 48039-1607 | 2019-12-19 |
| 1104460468 | Leigha Claerhout | Registered Nurse | 135 Broadway St, Marine City, MI 48039-1607 | 2019-10-30 |
| 1407224413 | Renee Morris | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2015-09-08 |
| 1124329255 | Katie Janisse | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174813 | Family Meds Inc | Pharmacy | 302 S Water St, Marine City, MI 48039 | 2014-08-14 |
| 1609294099 | Christina Evanko | Psychologist | 6660 Starville Rd, Cottrellville, MI 48039 | 2014-04-02 |
| 1285910463 | Gerald M Wesley | Dentist | 6240 Mckinley Rd, Marine City, MI 48039 | 2011-11-01 |
| 1871523522 | Kevin Gerardd Gilbert | Chiropractor | 6640 S River Rd, Marine City, MI 48039 | 2006-07-04 |
| 1184885493 | Norbert C. Zimmer P.C. | Chiropractor | 447 S Water St, Marine City, MI 48039 | 2008-06-19 |
| 1972909323 | Gerald Wesley | Dentist | 6240 Mckinley Rd, Cottrellville, MI 48039-1119 | 2014-11-12 |
| 1295813129 | Pulsar Medical Group PC | Internal Medicine | 538 Broadway St, Marine City, MI 48039-1605 | 2006-11-01 |
| 1801943485 | Paul J Ratusznik | Physical Therapist | 115 S Main St, Marine City, MI 48039-1625 | 2007-01-04 |
| 1104826973 | Jae Young Lee | Internal Medicine | 130 Washington St, Marine City, MI 48039-1680 | 2005-07-22 |
| 1811155039 | Jae Young Lee Md PC | Internal Medicine | 130 Washington St, Marine City, MI 48039-1680 | 2008-05-23 |
| Find all providers in zip 48039 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MARINE CITY |
| Zip Code | 48039 |
Please comment or provide details below to improve the information on ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY.
| 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.