Truenorth CCM, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401012384 Issued in MI

Legal business name

TRUENORTH CCM, INC.

Practice address

2945 Hansen Rd
West Branch, MI 48661-9317

Phone

(989) 345-5440

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kristine Marie Goodroe, MA, LPC

Title

Ministry Director

Phone

(989) 345-5440

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sarah Elisabeth Haller, MA

  • Marriage & Family Therapist
  • Anoka, MN
  • NPI 1144704396
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1225580772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HANSEN RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619317",
            "telephone_number": "989-345-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HANSEN RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619317",
            "telephone_number": "989-345-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUENORTH CCM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "GOODROE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MINISTRY DIRECTOR",
        "authorized_official_telephone_number": "989-345-5440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401012384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in West Branch, MI
• Providers in West Branch, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.