BAY AREA SUBSTANCE EDUCATION SERVICES (NPI# 1790053270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790053270 |
| Entity Type | Organization |
| Organization Name | BAY AREA SUBSTANCE EDUCATION SERVICES |
| Other Organization Name | BASES RECOVERY CENTER |
| Practice Address |
208 W Lincoln St Charlevoix MI 49720 |
| Mailing Address |
208 W Lincoln St Charlevoix MI 49720-1336 |
| Practice Telephone | 2315471144 |
| Practice Fax Number | 2315474970 |
| Mailing Telephone | 2315471144 |
| Mailing Fax Number | 2315474970 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2020-06-13 |
| Authorized Official Name | CELIA PARTIDA KELLY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2315471144 |
| Authorized Official Credential | MA,LPC,CAADC,CTP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 150013 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 20151209439760 | 05 | |
| MI | MAGELLAN | MIS601220445 | 01 |
| MI | OPTUM | 000722974 | 01 |
| MI | HUMANA BEHAVIORAL HEALTH | 383SYS0617-C | 01 |
| MI | BLUE CROSS BLUE SHIELD, TRADITIONAL (10) PAR, PPO TRUST (55) | OA50082 | 01 |
| MI | MAGELLAN | MIS601220444 | 01 |
| MI | MDHHS | COUN18-99599 | 01 |
| MI | MAGELLAN | MIS601220443 | 01 |
| MI | BCBSM MENTAL HEALTH AND SUBSTANCE ABUSE | OA50082 | 01 |
| MI | MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEAL | MNPC20131030 | 01 |
| Other Name | Type Code |
|---|---|
| BASES | Doing Business As Name - Organization |
| BASES Recovery Center | Doing Business As Name - Organization |
| Street Address |
208 W LINCOLN ST |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130177 | Michael James Cebulski | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2020-03-26 |
| 1710477278 | Jilaine Towne-patton | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2018-05-10 |
| 1023538741 | Dennis J Kan | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2017-06-23 |
| 1962944769 | Tory Werth | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2016-11-09 |
| 1679958664 | David Scott Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2015-07-20 |
| 1053795062 | Celia Partida Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-07-20 |
| 1972982841 | Gerald Mcavoy | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
| 1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
| 1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
| 1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
| 1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
| 1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
| 1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
| 1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
| 1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
| Find all providers in zip 49720 | ||||
| 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 |
|---|---|---|---|---|
| 1538633821 | Thalia Ferenc LLC | Community/Behavioral Health | 6127 Bay Shore West Dr, Charlevoix, MI 49720-9173 | 2019-01-20 |
| 1699131813 | Boss Counseling Services | Community/Behavioral Health | 1404 Bridge St, Charlevoix, MI 49720-2603 | 2016-01-04 |
| 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 | ||||
| City | CHARLEVOIX |
| Zip Code | 49720 |
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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.