Active NPI
Anchor Mental Health LLC
- Clinical Social Worker
- Jonesville, MI
National Provider Identifier
1043860802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4924298 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.