Organization Active NPI

Larch Tree Counseling and Wellness LLC

  • Social Worker
  • Traverse City, MI
National Provider Identifier
1093273377
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
LARCH TREE COUNSELING AND WELLNESS LLC
Practice address
1515 Cass St Ste D
Traverse City, MI 49684-4156
Phone
(231) 929-2612
Fax
(888) 599-0120
NPI assigned
Mar 6, 2019
Last updated
Mar 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Mrs. Dawn Marie Suttle
Title
Medical Biller
Phone
(248) 673-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1515 Cass St Ste D
Traverse City, MI 49684-4156

Mailing address

611 Pine St
Traverse City, MI 49684-3165
Phone (231) 929-2612

National Provider Directory

National Provider Directory

Locations

1515 Cass St
Ste D
Traverse City, MI 49684
Phone (231) 929-2612

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1093273377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PINE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843165",
            "telephone_number": "231-929-2612",
            "fax_number": "888-599-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CASS ST STE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844156",
            "telephone_number": "231-929-2612",
            "fax_number": "888-599-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCH TREE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "SUTTLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "248-673-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.