NPIMap

Organization Active NPI

Catholic Services of Macomb

  • Mental Health Counselor
  • Lapeer, MI
National Provider Identifier
1033349352
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401006955 Issued in MI
Legal business name
CATHOLIC SERVICES OF MACOMB
Practice address
700 S Main St
Suite 211
Lapeer, MI 48446-3077
Phone
(810) 664-4557
Fax
(810) 664-5181
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas J Reed
Title
President and Ceo
Phone
(586) 416-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401006955 MI Primary

Addresses

Primary practice location

700 S Main St
Suite 211
Lapeer, MI 48446-3077

Mailing address

15945 Canal Rd
Clinton Township, MI 48038-1610
Phone (810) 664-4557

Other names 1

  • Catholic Services of Lapeer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Services of Lapeer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 S Main St
Ste 211
Lapeer, MI 48446
Phone 8106644646 ext. 6000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1033349352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "810-664-4557",
            "fax_number": "810-664-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "address_2": "SUITE 211",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463077",
            "telephone_number": "810-664-4557",
            "fax_number": "810-664-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC SERVICES OF MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "586-416-2300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Services of Lapeer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.