Northern Star Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHERN STAR COUNSELING SERVICES, LLC

Practice address

308 Cleveland Ave Ste 311
Ishpeming, MI 49849-1842

Phone

(906) 362-4174

NPI assigned

Oct 5, 2018

Last updated

Oct 5, 2018By 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

Martha J Potter, M.S., LPC, NCC

Title

Therapist

Phone

(906) 362-4174

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1184199168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CLEVELAND AVE STE 311",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491842",
            "telephone_number": "906-362-4174",
            "fax_number": "906-204-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CLEVELAND AVE STE 311",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491842",
            "telephone_number": "906-362-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN STAR COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "MARTHA J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "906-362-4174",
        "authorized_official_credential": "M.S., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346639903",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.