NPIMap

Organization Active NPI

Fresh Aire Samaritan Counseling Center

  • Community/Behavioral Health Agency
  • Midland, MI
National Provider Identifier
1235491556
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401010105 Issued in MI
Legal business name
FRESH AIRE SAMARITAN COUNSELING CENTER
Practice address
315 W Larkin St
Midland, MI 48640-5152
Phone
(989) 835-7511
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Lisa M McIlvenna, DMINNPI 1043412240
Title
Executive Director
Phone
(989) 835-7511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401010105 MI Primary

Addresses

Primary practice location

315 W Larkin St
Midland, MI 48640-5152

Mailing address

315 W Larkin St
Midland, MI 48640-5152
Phone (989) 835-7511

National Provider Directory

National Provider Directory

Locations

805 Center Ave
Bay City, MI 48708
Phone (989) 835-7511

315 W Larkin St
Midland, MI 48640
Phone (989) 835-7511

4790 Gratiot Rd
Saginaw, MI 48638
Phone (989) 835-7511

Practitioners & affiliated clinicians

Practitioners 6

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1235491556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W LARKIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405152",
            "telephone_number": "989-835-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W LARKIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405152",
            "telephone_number": "989-835-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH AIRE SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "MCILVENNA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-835-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401010105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.