Organization Active NPI

Great Lakes Therapy Solutions

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1093534562
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GREAT LAKES THERAPY SOLUTIONS
Practice address
515 S West Ave Ste 201
Jackson, MI 49203-1639
Phone
(734) 408-1769
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Sarah Maurer, LMSW, CAADCNPI 1043755424
Title
Owner/Therapist
Phone
(734) 408-1769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

515 S West Ave Ste 201
Jackson, MI 49203-1639

Mailing address

515 S West Ave Ste 201
Jackson, MI 49203-1639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203000396 MI Part B Supplier - Clinic/Group Practice 3870022023 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

515 S West Ave
Ste 201
Jackson, MI 49203
Phone (734) 408-1769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1093534562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S WEST AVE STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S WEST AVE STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031639",
            "telephone_number": "734-408-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "734-408-1769",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.