NPIMap

Organization Active NPI

Petoskey Professional Counselors, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Petoskey, MI
National Provider Identifier
1104373075
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6401010243 Issued in MI
Legal business name
PETOSKEY PROFESSIONAL COUNSELORS, LLC
Practice address
422 E Mitchell St
Suite 4
Petoskey, MI 49770-2602
Phone
(231) 881-6194
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Sherry Leeann Guthrie, LPCNPI 1407169741
Title
Owner/Professional Counselor
Phone
(231) 881-6194

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6401010243 MI Primary

Addresses

Primary practice location

422 E Mitchell St
Suite 4
Petoskey, MI 49770-2602

Mailing address

PO Box 30
Petoskey, MI 49770-0030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1104373075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E MITCHELL ST",
            "address_2": "SUITE 4",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702602",
            "telephone_number": "231-881-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY PROFESSIONAL COUNSELORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "231-881-6194",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6401010243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.