Individual provider Active NPI

Jon C Hosek, LBSW

  • Case Manager/Care Coordinator
  • Coldwater, MI
National Provider Identifier
1255585170
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6802005233 Issued in MI
Practice address
200 Orleans Blvd
Coldwater, MI 49036-1767
Phone
(517) 278-2129
Fax
(517) 279-8172
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1-03001 MI
Case Manager/Care Coordinator 171M00000X 6802005233 MI Primary

Addresses

Primary practice location

200 Orleans Blvd
Coldwater, MI 49036-1767

Mailing address

200 Orleans Blvd
Coldwater, MI 49036-1767
Phone (517) 278-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-03001MIMDAddiction (Substance Use Disorder) Counselor
6802005233MIMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1255585170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORLEANS BLVD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361767",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEK",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-03001",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802005233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.