WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM (NPI# 1275646309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275646309 |
| Entity Type | Organization |
| Organization Name | WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM |
| Practice Address |
920 Diana St Ludington MI 49431-1987 |
| Practice Telephone | 2318456294 |
| Practice Fax Number | 2318457095 |
| Mailing Telephone | 2318456294 |
| Mailing Fax Number | 2318457095 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICH H. VANDENHEUVEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2318456294 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE | P55779 | 01 |
| MI | 3220732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376017889 | West Michigan Community Mental Health System | Nurse Practitioner | 920 Diana St, Ludington, MI 49431-1987 | 2019-01-17 |
| 1437537347 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2015-05-12 |
| 1700103488 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2010-04-21 |
| 1891833919 | West Michigan Community Mental Health System | Community/Behavioral Health | 920 Diana St, Ludington, MI 49431-1987 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST MICHIGAN COMMUNITY MENTAL HEALTH SYSTEM | 920 Diana Ave, Ludington, MI 49431-1987 |
| Street Address |
920 DIANA ST |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121255 | Ana Mccallum | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2020-10-12 |
| 1366074072 | Haleigh Mcnally | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1659903375 | Alexa Schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1922642214 | Amanda Vanduinen | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-10-30 |
| 1346892379 | Lori Mae Stakenas-schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2019-07-10 |
| 1528623782 | Sara Hutchinson | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-05-03 |
| 1407317944 | Kylie Petzak | Registered Nurse | 920 Diana St, Ludington, MI 49431-1987 | 2019-03-27 |
| 1376017889 | West Michigan Community Mental Health System | Nurse Practitioner | 920 Diana St, Ludington, MI 49431-1987 | 2019-01-17 |
| 1912479544 | Mary Raymond | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2018-12-20 |
| 1790257327 | Erika Reinhardt | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255573101 | Kathryn Elizabeth Watkins | Counselor | 319 N Rath Ave, Ludington, MI 49431-1664 | 2009-03-24 |
| 1013281450 | Rosanna Van Wyck | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2012-03-02 |
| 1215201850 | Christina Forrester | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2012-02-29 |
| 1265709125 | Rebecca Stone | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.