Organization Active NPI

Sunrise Animal Sanctuary

  • Mental Health Counselor
  • Ossineke, MI
National Provider Identifier
1073177408
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUNRISE ANIMAL SANCTUARY
Practice address
4202 Wilds Rd
Ossineke, MI 49766-9752
Phone
(989) 464-6907
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Jessica Glenn-Beatty, MD
Title
Owner
Phone
(989) 464-6907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4202 Wilds Rd
Ossineke, MI 49766-9752

Mailing address

114 E Oldfield St
Alpena, MI 49707-2354

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1073177408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E OLDFIELD ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 WILDS RD",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497669752",
            "telephone_number": "989-464-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ANIMAL SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "GLENN-BEATTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-464-6907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossineke, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.