Organization Active NPI

Connection for Mental Health,PLC

  • Community/Behavioral Health Agency
  • Midland, MI
National Provider Identifier
1154518652
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801017305 Issued in MI
Legal business name
CONNECTION FOR MENTAL HEALTH,PLC
Practice address
200 E Main St Ste 200
Midland, MI 48640-6510
Phone
(989) 633-9021
Fax
(989) 633-9026
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Ms. Laurie Danene Chamberlain-Clements, ACSW, LMSW
Title
Clinical Social Worker
Phone
(989) 633-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801017305 MI Primary

Addresses

Primary practice location

200 E Main St Ste 200
Midland, MI 48640-6510

Mailing address

200 E Main St Ste 200
Midland, MI 48640-6510
Phone (989) 633-9021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060227000172 MI Part B Supplier - Clinic/Group Practice 1456367697 Receives reassigned benefits from 4 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

4008 W Wackerly St
Ste 101
Midland, MI 48640
Phone (989) 633-9021

4710 N Saginaw Rd
Ste B
Midland, MI 48640
Phone (989) 633-9021

200 E Main St
Ste 200
Midland, MI 48640
Phone (989) 633-9021

240 W Main St
Ste 2300
Midland, MI 48640
Phone (989) 633-9021

Practitioners & affiliated clinicians

Practitioners 5

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1154518652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406510",
            "telephone_number": "989-633-9021",
            "fax_number": "989-633-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406510",
            "telephone_number": "989-633-9021",
            "fax_number": "989-633-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION FOR MENTAL HEALTH,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN-CLEMENTS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "DANENE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "989-633-9021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801017305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.