IONIA COUNTY COMMUNITY MENTAL (NPI# 1760452122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760452122 |
| Entity Type | Organization |
| Organization Name | IONIA COUNTY COMMUNITY MENTAL |
| Practice Address |
375 Apple Tree Dr Ionia MI 48846-7506 |
| Practice Telephone | 6165271790 |
| Practice Fax Number | 6165270538 |
| Mailing Telephone | 6165271790 |
| Mailing Fax Number | 6165270538 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MR. DANIEL A BECKMANN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6165271790 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 7509104830 | 01 |
| MI | 211715928 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 7509105840 | 01 |
| MI | 774350393 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IONIA COUNTY COMMUNITY MENTAL HEALTH | 7441 Storey Rd, Belding, MI 48809-9360 |
| Street Address |
375 APPLE TREE DR |
| City | IONIA |
| State | MI |
| Zip Code | 48846-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952640 | Malikah Owensby | Social Worker | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2020-11-04 |
| 1902418817 | Chanelle Ring | Registered Nurse | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2020-08-21 |
| 1295347128 | Keyla Eubank | Counselor | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2020-08-21 |
| 1588282552 | Todd Smith | Assistant Behavior Analyst | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2020-07-07 |
| 1649814823 | Chanler Burns | Social Worker | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-10-31 |
| 1386286482 | Chelsea Pline | Assistant Behavior Analyst | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-10-10 |
| 1699320804 | Claire Jackson | Assistant Behavior Analyst | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-08-05 |
| 1780242719 | Megan Cook | Case Manager/Care Coordinator | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-06-04 |
| 1811554652 | Joshua Emitt Thelen | Social Worker | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-05-28 |
| 1184280034 | Rebekah Wirkutis | Case Manager/Care Coordinator | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2019-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728003 | William Thomas Franklin-cromwell | Social Worker | 4832 E Bluewater Hwy, Ionia, MI 48846 | 2018-08-03 |
| 1992244974 | Jane Sielski | Nurse Practitioner | 2776 S State Rd # M66, Ionia, MI 48846 | 2017-02-23 |
| 1184074676 | Rachael Greenman | Technician, Other | 321 Colby St, Ionia, MI 48846 | 2016-06-15 |
| 1093059388 | Alicia Lynn Ballard | Orthopaedic Surgery | 537 W. Main St Suite 102, Ionia, MI 48846 | 2012-11-27 |
| 1538301643 | Places LLC | Registered Nurse | 910 E Lincoln, Ionia, MI 48846 | 2009-04-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1841364833 | Sandra Irene Herron | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1407920531 | Brooke Lynne Cheney | Physical Therapist | 3751 S State Road, Ionia, MI 48846 | 2006-11-20 |
| 1356415483 | Grand River Physical Therapy Specialists PC | Physical Therapist | 3751 South State Rd, Ionia, MI 48846 | 2006-11-20 |
| Find all providers in zip 48846 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639265606 | Ionia County Health Department | Public Health or Welfare | 175 E Adams St, Ionia, MI 48846-1672 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560364 | Guardian Angel Care Mihp | Public Health or Welfare | 4609 S Wayne Rd Ste 1, Wayne, MI 48184-2310 | 2019-10-21 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1952817389 | With Mom In Mind,llc | Public Health or Welfare | 18501 West Mile Road, Southfield, MI 48075 | 2017-12-21 |
| 1811429798 | Mizpah Group Home Inc | Public Health or Welfare | 24375 Lafayette Cir, Southfield, MI 48075-2560 | 2017-03-30 |
| 1659823102 | Trinity Mihp | Public Health or Welfare | 16821 Mark Twain St, Detroit, MI 48235-4066 | 2016-11-01 |
| 1497105225 | Anemanuheir, LLC. | Public Health or Welfare | 445 King St, Detroit, MI 48202-2130 | 2016-06-13 |
| 1225485329 | Creating Opportunities for Infants Children and Expectant Mothers | Public Health or Welfare | 12150 Schaefer Hwy, Apt 108, Detroit, MI 48227-3491 | 2016-05-18 |
| 1073976239 | Macomb Children's Healthcare Access Program | Public Health or Welfare | 11370 Hupp Ave, Warren, MI 48089-2505 | 2016-04-04 |
| 1447611967 | Loving Mothers | Public Health or Welfare | 52962 Wendover Dr, Shelby Twp, MI 48316-2965 | 2016-03-10 |
| 1104285162 | Royalty Home Care Services LLC | Public Health or Welfare | 25 S Norton St, New Buffalo, MI 49117-1147 | 2016-02-18 |
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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.