NPIMap

Organization Active NPI

Healthy Minds Counseling Services, LLC

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1255851440
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091159 Issued in MI
Legal business name
HEALTHY MINDS COUNSELING SERVICES, LLC
Practice address
710 S Main St
Cheboygan, MI 49721-2220
Phone
(231) 622-3172
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Pamela A Knaffle, LMSW
Title
Owner
Phone
(231) 622-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091159 MI Primary

Addresses

Primary practice location

710 S Main St
Cheboygan, MI 49721-2220

Mailing address

3840 Riggsville Rd
Cheboygan, MI 49721-9036
Phone (231) 622-3172

National Provider Directory

National Provider Directory

Locations

710 S Main St
Cheboygan, MI 49721
Phone (231) 622-3172

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1255851440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 RIGGSVILLE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219036",
            "telephone_number": "231-622-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-622-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "KNAFFLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-622-3172",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.