NPIMap

Organization Active NPI

Aspen Counseling and Recovery Services, PLLC

  • Clinical Psychologist
  • Munising, MI
National Provider Identifier
1184949653
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009362 Issued in MI
Legal business name
ASPEN COUNSELING AND RECOVERY SERVICES, PLLC
Practice address
202 Elm Ave
Suite 2
Munising, MI 49862-1108
Phone
(906) 387-1030
Fax
(906) 387-1038
NPI assigned
Mar 29, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Elizabeth Pangrazzi, MA,LLPNPI 1003026824
Title
Owner
Phone
(906) 387-1030

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009362 MI Primary
Clinical Social Worker 1041C0700X 6801085455 MI

Addresses

Primary practice location

202 Elm Ave
Suite 2
Munising, MI 49862-1108

Mailing address

202 Elm Ave
Suite 2
Munising, MI 49862-1108
Phone (906) 387-1030

National Provider Directory

National Provider Directory

Locations

202 Elm Ave
Ste 2
Munising, MI 49862
Phone (906) 387-1030

Practitioners & affiliated clinicians

Practitioners 2

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1184949653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ELM AVE",
            "address_2": "SUITE 2",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621108",
            "telephone_number": "906-387-1030",
            "fax_number": "906-387-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ELM AVE",
            "address_2": "SUITE 2",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621108",
            "telephone_number": "906-387-1030",
            "fax_number": "906-387-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN COUNSELING AND RECOVERY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "PANGRAZZI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-387-1030",
        "authorized_official_credential": "MA,LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009362",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munising, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.