AMAZING GRACE COUNSELING OUTREACH (NPI# 1942657689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942657689 |
| Entity Type | Organization |
| Organization Name | AMAZING GRACE COUNSELING OUTREACH |
| Other Organization Name | AGCO |
| Practice Address |
2035 Hogback Rd # 204 Ann Arbor MI 48105-9732 |
| Mailing Address |
3160 Falcon Ct Ann Arbor MI 48105-9207 |
| Practice Telephone | 7344179268 |
| Mailing Telephone | 7344179268 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | DR. ORAPIN CHUANROMANEE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7344179268 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| AGCO | Other Name - Individual/Organization |
| Street Address |
2035 HOGBACK RD # 204 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528415254 | Orapin Chuanromanee | Counselor | 2035 Hogback Rd # 204, Ann Arbor, MI 48105-9732 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1174139968 | Great Lakes Teletherapy | Community/Behavioral Health | 707 W Liberty St, Ann Arbor, MI 48103-4348 | 2020-09-17 |
| 1467096297 | Reflection Counseling Services Pllc | Community/Behavioral Health | 2227 Packard St Ste 2, Ann Arbor, MI 48104-6394 | 2019-11-05 |
| 1225693674 | Andrea Broadwater Counseling and Consulting, LLC | Community/Behavioral Health | 326 W Liberty St Ste 3, Ann Arbor, MI 48103-4341 | 2019-05-01 |
| 1326504804 | Krista Gravatt Lmsw, LLC | Community/Behavioral Health | 455 E Eisenhower Pkwy Ste 30, Ann Arbor, MI 48108-3304 | 2019-02-20 |
| 1982169538 | Eventually LLC | Community/Behavioral Health | 455 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-3324 | 2019-02-07 |
| 1235678806 | Heather Herrick, Lmsw, Pllc | Community/Behavioral Health | 2311 Shelby Ave Ste 101d, Ann Arbor, MI 48103-3849 | 2017-02-15 |
| 1639544646 | Danielle Aimone | Community/Behavioral Health | 404 Snyder Ave, Ann Arbor, MI 48103-5551 | 2015-12-02 |
| 1780082883 | Kari J Schmidt, Lpc, Ncc, Rpt-s | Community/Behavioral Health | 1785 W Stadium Blvd Ste 201b, Ann Arbor, MI 48103-5285 | 2014-12-05 |
| 1346671880 | Community Mental Health Partnership of Southeast Michigan | Community/Behavioral Health | 3005 Boardwalk St Ste 200, Ann Arbor, MI 48108-5218 | 2013-12-10 |
| 1699010405 | Carroll Care Management LLC | Community/Behavioral Health | 2005 Audubon Dr, Ann Arbor, MI 48103-6183 | 2012-12-05 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on AMAZING GRACE COUNSELING OUTREACH.
| 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.