Active NPI
Larch Tree Counseling and Wellness LLC
- Social Worker
- Traverse City, MI
National Provider Identifier
1093273377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Traverse City, MI
- NPI 1760770549
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.