NPIMap

Organization Active NPI

Michigan Comprehensive Professional Counseling Services PC

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1164570248
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801015689 Issued in MI
Legal business name
MICHIGAN COMPREHENSIVE PROFESSIONAL COUNSELING SERVICES PC
Practice address
1300 N Michigan Ave
Saginaw, MI 48602-4732
Phone
(989) 752-1668
Fax
(989) 752-9710
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Hazel E. Milam, LMSWNPI 1619130341
Title
President
Phone
(989) 752-1668

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

Practitioners 3

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110712000049 MI Part B Supplier - Clinic/Group Practice 8729266010 Receives reassigned benefits from 2 practitioners
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

1300 N Michigan Ave
Saginaw, MI 48602
Phone (989) 401-9033

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801015689 MI Primary
Case Management Agency 251B00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

NPPES NPI Registry

Primary practice location

1300 N Michigan Ave
Saginaw, MI 48602-4732

Mailing address

PO Box 2203
Saginaw, MI 48605-2203
Phone (989) 752-1668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2016.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1164570248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2203",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486052203",
            "telephone_number": "989-752-1668",
            "fax_number": "989-752-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024732",
            "telephone_number": "989-752-1668",
            "fax_number": "989-752-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMPREHENSIVE PROFESSIONAL COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-752-1668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015689",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.