Golden Recovery, PLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009216 Issued in MI

Legal business name

GOLDEN RECOVERY, PLC

Practice address

5397 Howard Rd
Petoskey, MI 49770-8815

Phone

(231) 225-9030

Fax

(231) 225-9026

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Paul Michael Sullivan, LPCNPI 1427289347

Title

Owner/Therapist

Phone

(231) 225-9030

Specialties & licenses 1

Addresses

Practitioners 1

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

• Paul Michael Sullivan, LPC

  • Professional Counselor
  • Petoskey, MI
  • NPI 1427289347
  NPD (past) Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1275087751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 HOWARD RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708815",
            "telephone_number": "231-225-9030",
            "fax_number": "231-225-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 HOWARD RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708815",
            "telephone_number": "231-225-9030",
            "fax_number": "231-225-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RECOVERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "231-225-9030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nel Rainier Go, M.D.
• Angus G Goetz III, D.O
• Martha Jean Goetz, FNP
• Michal A Golas
• Conrad Gold, MA, CCC-SLP
• Stacy Christine Goldthorpe
• Barbara E. Goodman, M.S.W.
• John M Goy, M.A.,CCC-A
• Alissa Gracy
• James Gracy, PA

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

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