SAGINAW CHIPPEWA INDIAN TRIBE BEHAVIORAL HEALTH PROGRAM NPI 1013041698

NPI Information

  • NPI: 1013041698
  • Provider Name: SAGINAW CHIPPEWA INDIAN TRIBE BEHAVIORAL HEALTH PROGRAM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 23D0867421
  • Address: 2800 S SHEPHERD RD
    MOUNT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 775-4850

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NPI Details

SAGINAW CHIPPEWA INDIAN TRIBE BEHAVIORAL HEALTH PROGRAM is a mental health counselor in Mount Pleasant, MI. SAGINAW CHIPPEWA INDIAN TRIBE BEHAVIORAL HEALTH PROGRAM NPI is 1013041698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 S SHEPHERD RD
MOUNT PLEASANT, MI
ZIP 48858-966
Phone: (989) 775-4850
Fax: (989) 775-4851

The provider's authorized official is Ame Edstrom .
The authorized official title is Director and has the following contact phone number (989) 775-4850.

The CLIA number assigned to this NPI record is 23D0867421 - other - tribal satelite clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2106H00000XMarriage & Family TherapistNo
3171M00000XCase Manager/Care CoordinatorNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5261QR0405XClinic/CenterRehabilitation, Substance Use Disorder370007MICHIGANNo
6324500000XSubstance Abuse Rehabilitation Facility370007MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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