Active NPI
Janet Sue Farrish-Gravelle, LMSW
- Mental Health Counselor
- Sault Sainte Marie, MI
National Provider Identifier
1033702402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801088283
- Practice address
- 500 Osborn Blvd
Sault Sainte Marie, MI 49783-1884 - Phone
- (906) 635-2969
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801088283 | MI | Primary |
Addresses
Primary practice location
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1884
Mailing address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1884
Phone (906) 635-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088283 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1033702402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OSBORN BLVD",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831884",
"telephone_number": "906-635-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OSBORN BLVD",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831884",
"telephone_number": "906-635-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRISH-GRAVELLE",
"first_name": "JANET",
"middle_name": "SUE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801088283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.