Organization Active NPI

Hartland Individual and Family Services LLC

  • Social Worker
  • Hartland, MI
National Provider Identifier
1184203564
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HARTLAND INDIVIDUAL AND FAMILY SERVICES LLC
Practice address
11750 Highland Rd Ste 140
Hartland, MI 48353-2729
Phone
(810) 746-9091
NPI assigned
Apr 5, 2021
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Marybeth Houpt
Title
Credentialing
Phone
(517) 676-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

11750 Highland Rd Ste 140
Hartland, MI 48353-2729

Mailing address

11750 Highland Rd Ste 140
Hartland, MI 48353-2729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408002779 MI Part B Supplier - Clinic/Group Practice 8921416033 Receives reassigned benefits from 4 practitioners
Practice locations: Hartland, MI

National Provider Directory

National Provider Directory

Locations

11202 Highland Rd
Hartland, MI 48353
Phone (810) 279-0537

11750 Highland Rd
Ste 140
Hartland, MI 48353
Phone (248) 709-2109

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1184203564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 HIGHLAND RD STE 140",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 HIGHLAND RD STE 140",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532729",
            "telephone_number": "810-746-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND INDIVIDUAL AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.