MID SOUTH SUBSTANCE ABUSE COMMISSION (NPI# 1992838619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992838619 |
| Entity Type | Organization |
| Organization Name | MID SOUTH SUBSTANCE ABUSE COMMISSION |
| Practice Address |
2875 Northwind Dr Suite 215 East Lansing MI 48823-5092 |
| Practice Telephone | 5173374406 |
| Practice Fax Number | 5173378512 |
| Mailing Telephone | 5173374406 |
| Mailing Fax Number | 5173378512 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MRS. GERALDINE M. ROESER (FINANCE MANAGER) |
| Authorized Official Telephone | 5173374406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
2875 NORTHWIND DR SUITE 215 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336190321 | Francine Louise Karim | Social Worker | 2875 Northwind Dr, East Lansing, MI 48823-5035 | 2006-05-13 |
| 1144773078 | Quenton Joseph Lerma | Counselor | 2875 Northwind Dr, Suite 215, East Lansing, MI 48823-5092 | 2016-07-27 |
| 1780042259 | New Horizons Counseling Services Pllc | Social Worker | 2875 Northwind Dr, Ste 106, East Lansing, MI 48823-5092 | 2016-01-29 |
| 1912379348 | Turning Corners Consulting Inc | Social Worker | 2875 Northwind Dr, Ste 106, East Lansing, MI 48823-5092 | 2015-10-26 |
| 1366693590 | Esther Rose Park | Dietitian, Registered | 2875 Northwind Dr, Ste. 110, East Lansing, MI 48823-5092 | 2008-10-07 |
| 1649375999 | Barbara Jill Rossen | Counselor | 2875 Northwind Dr, Suite 110, East Lansing, MI 48823-5092 | 2006-09-13 |
| 1003829904 | Shirley Tighe Frank | Psychologist | 2875 Northwind Dr, Ste 138, East Lansing, MI 48823 | 2006-08-14 |
| 1730120478 | Kenneth Scott Miller | Social Worker | 2875 Northwind Dr, Suite 106, East Lansing, MI 48823-5092 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032534 | Aim Recovery LLC | Clinic/Center | 34290 Ford Rd, Westland, MI 48185-3051 | 2020-01-10 |
| 1679135438 | Salvation Army | Clinic/Center | 72 Sheldon Ave Se, Grand Rapids, MI 49503-4234 | 2019-07-02 |
| 1194282889 | Saginaw Odyssey House, Inc. | Clinic/Center | 1241 N Michigan Ave, Saginaw, MI 48602-4729 | 2019-02-28 |
| 1093210551 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 2424 W Washington Ave Ste 100, Jackson, MI 49203-1236 | 2018-03-27 |
| 1861862641 | Michigan Forensic Intervention Services | Clinic/Center | 21821 Lakeview St, Saint Clair Shores, MI 48080-4057 | 2015-10-06 |
| 1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1962606632 | St Johns Home | Clinic/Center | 2355 Knapp St Ne, Grand Rapids, MI 49505-4415 | 2007-06-14 |
| 1699981498 | West Michigan Therapy Inc | Clinic/Center | 130 E Apple Ave, Muskegon, MI 49442-3405 | 2007-05-16 |
| 1982810024 | Community Healing Center | Clinic/Center | 816 East Michigan Ave, Suite 103, Paw Paw, MI 49079-1215 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on MID SOUTH SUBSTANCE ABUSE COMMISSION.
| 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.