Organization Active NPI

Healing Arts North PLLC

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1053930412
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING ARTS NORTH PLLC
Practice address
520 N Main St Ste 105
Cheboygan, MI 49721-1171
Phone
(989) 372-1493
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Joanne Lockey Sarrault, LLMSWNPI 1639664741
Title
Agency Director
Phone
(231) 445-9010

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

Addresses

Primary practice location

520 N Main St Ste 105
Cheboygan, MI 49721-1171

Mailing address

520 N Main St Ste 105
Cheboygan, MI 49721-1171
Phone (989) 372-1493

Other identifiers 3

IdentifierTypeStateIssuer
1639664741OtherMIINDIVIDUAL NPI
6801103192OtherMIPROFESSIONAL LIMITED LICENSE
1639664741MedicaidMI

National Provider Directory

National Provider Directory

Locations

520 N Main St
Ste 105
Cheboygan, MI 49721
Phone (231) 445-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1053930412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 105",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211171",
            "telephone_number": "989-372-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 105",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211171",
            "telephone_number": "989-372-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ARTS NORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SARRAULT",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "LOCKEY",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "231-445-9010",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639664741",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL  LIMITED LICENSE",
            "identifier": "6801103192",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639664741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.