NPIMap

Organization Active NPI

Waygft

  • Peer Specialist
  • Freeland, MI
National Provider Identifier
1215773056
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
WAYGFT
Practice address
2576 E Brooks Rd
Freeland, MI 48623-9431
Phone
(989) 430-5795
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Brian Cecil Patrick, RECOVERY COACHNPI 1073331021
Title
Owner
Phone
(989) 430-5795

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
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

2576 E Brooks Rd
Freeland, MI 48623-9431

Mailing address

331 W Fike Rd
Sanford, MI 48657-9113
Phone (989) 430-5795

Other names 1

  • WAYGFT Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Waygft2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1215773056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W FIKE RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579113",
            "telephone_number": "989-430-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 E BROOKS RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239431",
            "telephone_number": "989-430-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYGFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-430-5795",
        "authorized_official_credential": "RECOVERY COACH"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAYGFT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.