Active NPI
Courtney Tyner
- Addiction (Substance Use Disorder) Counselor
- Sault Sainte Marie, MI
National Provider Identifier
1083434252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2655 Ashmun St
Sault Sainte Marie, MI 49783-3711 - Phone
- (906) 632-2522
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Mailing address
100 Malton Rd Ste 5
Negaunee, MI 49866-2002
Other practice location 1
1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415
Phone (906) 635-5542
Other practice location 2
301 E Spruce St
Sault Sainte Marie, MI 49783-2134
Phone (906) 259-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Recovery Centers | Past | Accepting new patients | |
| Great Lakes Recovery Centers | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sault Sainte Marie, MI
- NPI 1255148714
-
- Substance Abuse Rehabilitation Facility
- Sault Ste Marie, MI
- NPI 1801065925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1083434252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MALTON RD STE 5",
"city": "NEGAUNEE",
"state": "MI",
"postal_code": "498662002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 ASHMUN ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497833711",
"telephone_number": "906-632-2522"
}
],
"practiceLocations": [
{
"address_1": "1416 W Easterday Ave",
"address_purpose": "LOCATION",
"city": "Sault Sainte Marie",
"state": "MI",
"postal_code": "497831415",
"country_code": "US",
"telephone_number": "906-635-5542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 E Spruce St",
"address_purpose": "LOCATION",
"city": "Sault Sainte Marie",
"state": "MI",
"postal_code": "497832134",
"country_code": "US",
"telephone_number": "906-259-9511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYNER",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.