GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY NPI 1912957143

NPI Information

NPI: 1912957143
Provider Name: GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

Former Legal Business Name: GOGEBIC COUNTY COMMUNITY MENTAL HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
103 W US HIGHWAY 2
WAKEFIELD, MI
ZIP 49968
Phone: (906) 229-6100
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GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY is a mental health counselor in Wakefield, MI. GOGEBIC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY NPI is 1912957143. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Gogebic County Community Mental Health.

The provider's business location address is:

103 W US HIGHWAY 2
WAKEFIELD, MI
ZIP 49968-515
Phone: (906) 229-6100
Fax: (906) 229-6191

The provider's authorized official is Tess Greenough .
The authorized official title is C.e.o. and has the following contact phone number (906) 229-6100.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/30/2023.

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	Primary
1	103T00000X	Psychologist		No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	No
3	104100000X	Social Worker		No
4	1041C0700X	Social Worker	Clinical	No
5	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	750910818	OTHER	MICHIGAN	BLUE CROSS OPC
2	IG027143	OTHER	MICHIGAN	MAGELLAN STATE OF MI GROU
3	1708119	MEDICAID	MICHIGAN
4	4351265	MEDICAID	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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