BLUEWATER COUNSELING SERVICES LLC (NPI# 1891357497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891357497 |
Entity Type | Organization |
Organization Name | BLUEWATER COUNSELING SERVICES LLC |
Practice Address |
1611 W Centre Ave Ste 107 Portage MI 49024-5339 |
Mailing Address |
Po Box 10 Mason MI 48854-0010 |
Practice Telephone | 2693660979 |
Enumeration Date | 2019-07-03 |
Last Update Date | 2019-07-03 |
Authorized Official Name | MARY BETH HOUPT (CREDENTIALING) |
Authorized Official Telephone | 5176769788 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
1611 W CENTRE AVE STE 107 |
City | PORTAGE |
State | MI |
Zip Code | 49024-5339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
Find all providers in zip 49024 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275026247 | Chitradevi C Caradedios | Counselor | 8080 Moorsbridge Rd Ste 102, Portage, MI 49024-4422 | 2018-06-13 |
1417457391 | Family Counseling Services LLC | Counselor | 1611 W Centre Ave Ste 103, Portage, MI 49024-5339 | 2018-02-16 |
1487008926 | George O Otura | Counselor | 2150 Albatross Ct Apt 2d, Portage, MI 49024-2443 | 2016-04-21 |
1821454315 | Honey Sternberg | Counselor | 2910 New Pinery Rd Ste A2, Portage, WI 53901-9292 | 2016-01-13 |
1598139503 | Matthew David Bilchak | Counselor | 1007 Jefferson Ave, Portage, PA 15946-1710 | 2015-11-16 |
1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
1043635220 | Heather Jane Gove | Counselor | 2639 New Pinery Rd # 1, Portage, WI 53901-1110 | 2014-02-25 |
1154758787 | Obioha Collins Unaeze | Counselor | 5250 Lovers Ln Ste 200, Portage, MI 49002-1579 | 2013-09-27 |
1710250949 | Trinity Counseling Group | Counselor | 4566 Wishing Well Ct, Portage, MI 49024-4655 | 2012-02-19 |
1528025400 | Ann E. Crabb | Counselor | 7895 Currier Dr, Portage, MI 49002-4314 | 2006-04-26 |
Find all providers in PORTAGE |
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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.