Healthy Mind Counseling PLLC
Organization Active NPI Social Worker · Fremont, MI
NPI 1295280253 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1295280253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 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
- Organization subpart
- No
Authorized official
- Name
- Salena Phillips-Baker
- Title
- Owner
- Phone
- (231) 335-1718
Practitioners 14
-
Beth E Cherin, MA, LPC, NCC
-
Crystal Chumley-Jarvis, LLMSW
-
Paige K Cook, LMSW
-
Anna Mary Eggleston, LMSW
-
Anna Girgenti, LPC
-
Dawn Harrison, LMFT
-
Janelle Uganski, LMSW
-
Carrie Zinser, LMSW
-
Leslie A Anderson, LPC
-
Rebecca Stephan, LCMSW
-
Samantha Maye Hunt, LLPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903002637 | MI | Part B Supplier - Clinic/Group Practice | 1355670233 |
Receives reassigned benefits from 13 practitioners Practice locations: Fremont, MI |
National Provider Directory
Locations
106 S Stewart Ave
Fremont, MI 49412
Phone (231) 335-1718
296 W Clay Ave
Muskegon, MI 49440
Phone (231) 335-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 6401012362 | MI | |
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
6995 W 48TH St
Fremont, MI 49412-9506
Mailing address
6995 W 48TH St
Fremont, MI 49412-9506
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.