ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI# 1306981675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306981675 |
| Entity Type | Organization |
| Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Other Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH WEST-CAPAC |
| Practice Address |
14675 Downey Rd Capac MI 48014-3016 |
| Mailing Address |
14675 Downey Rd Capac MI 48014 |
| Practice Telephone | 8103954343 |
| Mailing Telephone | 8103954343 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | DEBRA B JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8109858900 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4349015 | 05 | |
| MI | 1708164 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 10688 | 01 |
| Other Name | Type Code |
|---|---|
| St Clair County Community Mental Health West-Capac | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821133265 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 135 Broadway St, Marine City, MI 48039-1607 | 2007-02-21 |
| 1295083723 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2012-08-15 |
| 1134254394 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2007-02-21 |
| 1851436109 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-02-21 |
| 1689783672 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-08-30 |
| Street Address |
14675 DOWNEY RD |
| City | CAPAC |
| State | MI |
| Zip Code | 48014-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911961 | Capac Chiropractic Pllc | Chiropractor | 116 North Main Street, Capac, MI 48014 | 2007-03-20 |
| 1366509523 | Capac Medical Center PC | Family Medicine | 4316 Capac Road, Capac, MI 48014 | 2007-01-03 |
| 1346358710 | Sds Pharmacy Inc | Pharmacy | 136 N Main Street, Capac, MI 48014 | 2006-08-27 |
| 1861424541 | Todd E. Grubb | Chiropractor | 116 N Main St, Capac, MI 48014 | 2006-07-06 |
| 1912057654 | Tammy Justice | Technician | 16155 Petz Rd, Mussey, MI 48014-1605 | 2007-01-12 |
| 1598280703 | Alyssa Leeann Mcdonald | Occupational Therapist | 14070 Foley Rd, Mussey, MI 48014-2000 | 2017-08-08 |
| 1578573374 | Karina Sarah Suzanne Henry | Day Training/Habilitation Specialist | 308 N Neeper St, Capac, MI 48014-3036 | 2006-08-08 |
| 1245610864 | Courtney Rawlins | Technician, Other | 16016 W Park St, Mussey, MI 48014-3072 | 2015-06-09 |
| 1356735864 | Amy Lynn Simpson | Technician, Other | 207 E Aldrich St, Capac, MI 48014-3103 | 2015-03-23 |
| 1275734394 | Philip Matich | Family Medicine | 4316 Capac Rd, Mussey, MI 48014-3108 | 2007-05-29 |
| Find all providers in zip 48014 | ||||
| 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 |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| 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.