NPIMap

Organization Active NPI

Healthy Mind Counseling PLLC

  • Social Worker
  • Fremont, MI
National Provider Identifier
1295280253
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HEALTHY MIND COUNSELING PLLC
Practice address
6995 W 48TH St
Fremont, MI 49412-9506
Phone
(231) 335-1718
Fax
(231) 422-0022
NPI assigned
Aug 19, 2016
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Salena Phillips-BakerNPI 1639507577
Title
Owner
Phone
(231) 335-1718

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401012362 MI
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

6995 W 48TH St
Fremont, MI 49412-9506

Mailing address

6995 W 48TH St
Fremont, MI 49412-9506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190903002637 MI Part B Supplier - Clinic/Group Practice 1355670233 Receives reassigned benefits from 13 practitioners
Practice locations: Fremont, MI

National Provider Directory

National Provider Directory

Locations

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

296 W Clay Ave
Muskegon, MI 49440
Phone (231) 335-1718

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1295280253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6995 W 48TH ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 W 48TH ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129506",
            "telephone_number": "231-335-1718",
            "fax_number": "231-422-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MIND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-BAKER",
        "authorized_official_first_name": "SALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-335-1718"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012362",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.