COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES (NPI# 1780871137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780871137 |
| Entity Type | Organization |
| Organization Name | COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
515 Quartz St Ontonagon MI 49953-1115 |
| Mailing Address |
901 W. Memorial Dr. Houghton MI 49931 |
| Practice Telephone | 9068844804 |
| Practice Fax Number | 9064830269 |
| Mailing Telephone | 9064829400 |
| Mailing Fax Number | 9064830269 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | MR. LAWRENCE J. POLLACK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9064829400 |
| Authorized Official Credential | PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD MI | 10617 | 01 | |
| MI | 1707962 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205023652 | Copper Country Community Mental Health Services | Community/Behavioral Health | 15644 Skanee Rd, Lanse, MI 49946-9003 | 2007-10-01 |
| 1760679112 | Copper Country Community Mental Health Services | Community/Behavioral Health | 56938 Calumet Ave, Calumet, MI 49913-2912 | 2007-10-01 |
| 1225391584 | Copper Country Community Mental Health Services | Clinic/Center | 901 W Mem Dr, Houghton, MI 49931-2475 | 2012-06-21 |
| 1306164017 | Copper Country Community Mental Health Services | Community/Behavioral Health | 901 W Mem Dr, Houghton, MI 49931-2475 | 2010-05-06 |
| 1881607497 | Copper Country Community Mental Health Services | Community/Behavioral Health | 901 W. Memorial Dr., Houghton, MI 49931 | 2006-08-14 |
| Street Address |
515 QUARTZ ST |
| City | ONTONAGON |
| State | MI |
| Zip Code | 49953-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196667 | Jessica Brooke Huntzinger | Registered Nurse | 515 Quartz St, Ontonagon, MI 49953-1115 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108831 | Suzanne J Miron | Nurse Practitioner | 751 S 7th St, Ontonagon, MI 49953 | 2018-06-15 |
| 1578633699 | Robert J. Johnson, D.d.s., P.C. | Dentist | 400 Lake St, Ste 101, Ontonagon, MI 49953-1034 | 2006-11-08 |
| 1104999069 | Robert J Johnson | Dentist | 400 Lake St, Ste 101, Ontonagon, MI 49953-1034 | 2006-11-16 |
| 1962539502 | County of Houghton | Clinic/Center | 408 Copper St, Ontonagon, MI 49953-1158 | 2007-02-28 |
| 1891823175 | County of Houghton | Clinic/Center | 408 Copper St, Ontonagon, MI 49953-1158 | 2007-03-01 |
| 1386055044 | Michelle Outwater | Occupational Therapist | 114 Pennsylvania Ave, Apt 1, Ontonagon, MI 49953-1300 | 2014-05-15 |
| 1053308734 | Maple Manor Nursing Center, Inc | Nursing Facility/Intermediate Care Facility | 102 2nd St, Ontonagon, MI 49953-1337 | 2005-09-29 |
| 1962518142 | Joseph Anthony Strong | Dentist | 401 S 7th St, Suite A, Ontonagon, MI 49953-1444 | 2006-08-21 |
| 1336642628 | Jamie Bauer-lockhart | Dental Hygienist | 401 S 7th St, Ontonagon, MI 49953-1444 | 2018-03-13 |
| 1265935563 | Brittany Turin | Dental Hygienist | 401 S 7th St, Ontonagon, MI 49953-1444 | 2018-03-13 |
| Find all providers in zip 49953 | ||||
| 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.