Organization Active NPI

Anchor Mental Health LLC

  • Clinical Social Worker
  • Jonesville, MI
National Provider Identifier
1043860802
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANCHOR MENTAL HEALTH LLC
Practice address
214 South St
Jonesville, MI 49250-1054
Phone
(517) 826-5167
Fax
(517) 826-5024
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Miss Denise Ann McLaughlin, MA
Title
Administrative
Phone
(517) 425-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

214 South St
Jonesville, MI 49250-1054

Mailing address

214 South St
Jonesville, MI 49250-1054
Phone (517) 826-5167

Other identifiers 1

IdentifierTypeStateIssuer
4924298MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190911002672 MI Part B Supplier - Clinic/Group Practice 5395074652 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsdale, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1043860802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SOUTH ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501054",
            "telephone_number": "517-826-5167",
            "fax_number": "517-826-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SOUTH ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501054",
            "telephone_number": "517-826-5167",
            "fax_number": "517-826-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "517-425-1368",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA"
    },
    "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": "4924298",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.

Verify at the official NPI Registry.