NPIMap

Organization Active NPI

Ten Sixteen Recovery Network

  • Addiction (Substance Use Disorder) Counselor
  • Mt Pleasant, MI
National Provider Identifier
1073632907
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
370048 Issued in MI
Legal business name
TEN SIXTEEN RECOVERY NETWORK
Practice address
1234 E Broomfield St Ste 8
Mt Pleasant, MI 48858-4490
Phone
(989) 817-7915
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Lindsay Harper Dyer, MSSW
Title
Program Impact Manager
Phone
(989) 631-0241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 370048 MI Primary
Substance Abuse Rehabilitation Facility 324500000X 370048 MI

Addresses

Primary practice location

1234 E Broomfield St Ste 8
Mt Pleasant, MI 48858-4490

Mailing address

133 N Saginaw Rd
Midland, MI 48640-3350
Phone (989) 631-0241

Other names 1

  • Ten Sixteen Treatment Centers Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528003478 MI Part B Supplier - Clinic/Group Practice 5395187975 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Midland, MI; Standish, MI; Mt Pleasant, MI; Gladwin, MI; Clare, MI; Big Rapids, MI

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ten Sixteen Recovery Network8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2885 Health Pkwy
Mt Pleasant, MI 48858

1234 E Broomfield St
Ste 8
Mt Pleasant, MI 48858
Phone (989) 817-7915

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1073632907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-631-0241",
            "fax_number": "989-835-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E BROOMFIELD ST STE 8",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584490",
            "telephone_number": "989-817-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN SIXTEEN RECOVERY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PROGRAM IMPACT MANAGER",
        "authorized_official_telephone_number": "989-631-0241",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "370048",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "370048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ten Sixteen Treatment Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.