Active NPI
Autism and Neurodiversity Services
- Clinical Social Worker
- Bay City, MI
National Provider Identifier
1245076876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- AUTISM AND NEURODIVERSITY SERVICES
- Practice address
- 914 N Euclid Ave
Bay City, MI 48706-2467 - Phone
- (989) 778-1055
- Fax
- (844) 239-2996
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Blake, PHD
- Title
- Ceo
- Phone
- (989) 778-1055
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
914 N Euclid Ave
Bay City, MI 48706-2467
Mailing address
914 N Euclid Ave
Bay City, MI 48706-2467
Phone (989) 778-1055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720124308 | Medicaid | MI | |
| 1932654415 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
914 N Euclid Ave
Bay City, MI 48706
Phone (989) 414-3535
3865 Wilder Rd
Ste A
Bay City, MI 48706
Phone (989) 778-1055
3865 Wilder Rd
Ste 7A
Bay City, MI 48706
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Pinconning, MI
- NPI 1700290459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1245076876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 N EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062467",
"telephone_number": "989-778-1055",
"fax_number": "844-239-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487062467",
"telephone_number": "989-778-1055",
"fax_number": "844-239-2996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM AND NEURODIVERSITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-778-1055",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720124308",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932654415",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.