Julie Gordon
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Croswell, MI
NPI 1194908699 · NPPES record last updated Dec 7, 2007
Key facts
- NPI
- 1194908699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 4270 Brown Rd
Croswell, MI 48422-9499 - Phone
- (810) 705-0479
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Blue Water Mental Health Clinic
Practice addresses (Care Compare)
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105000226 | MI | Practitioner - Mental Health Counselor | 7810420494 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Mental Health Clinic | Current |
Accepting new patients | |
| NPI 1891833810 | Current |
Accepting new patients |
Locations
1501 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 985-5125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
4270 Brown Rd
Croswell, MI 48422-9499
Mailing address
4270 Brown Rd
Croswell, MI 48422-9499
Phone (810) 705-0479
Other providers in Croswell, MI
- Raymond J Emond
- Carissa Fenner
- Maija Matintytar Fenner
- Samantha Lee Garcia
- Patrick Gonczar
- Matthew Gormley
- Madison Griffith
- Corrine Holsbeke
- Todd J Hook
- Jerry J Hosterman
All providers in Croswell, MI · Addiction (Substance Use Disorder) Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.