Active NPI
Anchor Counseling Services, LLC
- Clinical Social Worker
- Port Huron, MI
National Provider Identifier
1013561695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ANCHOR COUNSELING SERVICES, LLC
- Practice address
- 1423 Pine Grove Ave
Port Huron, MI 48060-3513 - Phone
- (810) 990-8720
- NPI assigned
- Jul 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn Fischer, LMSW
- Title
- Owner/Clinician
- Phone
- (810) 990-8720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1423 Pine Grove Ave
Port Huron, MI 48060-3513
Mailing address
1423 Pine Grove Ave
Port Huron, MI 48060-3513
Phone (810) 990-8720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659640779 | Medicaid | MI |
Other names 1
- Anchor Counseling Services, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4819 Lapeer Rd
Ste I
Kimball, MI 48074
Phone (810) 990-8720
1423 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 434-1400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Port Huron, MI
- NPI 1659640779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1013561695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603513",
"telephone_number": "810-990-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603513",
"telephone_number": "810-990-8720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-31",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "810-990-8720",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659640779",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anchor Counseling Services, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Anchor Counseling Services, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.