Midstream Counseling PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801079803 Issued in MI

Legal business name

MIDSTREAM COUNSELING PLC

Practice address

6668 S West Bay Shore Dr
Traverse City, MI 49684-9205

Phone

(231) 590-9743

Fax

(231) 421-5616

NPI assigned

Jul 27, 2016

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Paul Agee, LMSW

Title

Co-Owner Therapist

Phone

(231) 590-9743

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Kathleen Marie Lantzer, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1588703706
  NPD

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1184177180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849205",
            "telephone_number": "231-590-9743",
            "fax_number": "231-421-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849205",
            "telephone_number": "231-590-9743",
            "fax_number": "231-421-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTREAM COUNSELING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER THERAPIST",
        "authorized_official_telephone_number": "231-590-9743",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087281",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Christian Michutka, RPH
• Susan Mick
• Gerald Micketti, LLPC
• Middle Path Counseling, PLLC
• Gina R Middlebrook, FNP
• Derek Walter Migazzi
• Mighty Oak Therapy Services PLLC
• Brittany Mikolowski
• Sharon Mikowski
• Mark A Mikula, M.D.

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.