Organization Active NPI

Michigan Anxiety and Depression Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clare, MI
National Provider Identifier
1124728837
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MICHIGAN ANXIETY AND DEPRESSION SERVICES
Practice address
208 Wilcox Pkwy Apt 8
Clare, MI 48617-9799
Phone
(989) 314-1410
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Jason Luna, MA, MSW, LMSW-CNPI 1225374820
Title
Owner/Therapist
Phone
(989) 314-1410

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 Primary

Addresses

Primary practice location

208 Wilcox Pkwy Apt 8
Clare, MI 48617-9799

Mailing address

208 Wilcox Pkwy Apt 8
Clare, MI 48617-9799
Phone (989) 314-1410

National Provider Directory

National Provider Directory

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1124728837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILCOX PKWY APT 8",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179799",
            "telephone_number": "989-314-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WILCOX PKWY APT 8",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179799",
            "telephone_number": "989-314-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ANXIETY AND DEPRESSION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "989-314-1410",
        "authorized_official_credential": "MA, MSW, LMSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.