Copper Country Community Mental Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES

Practice address

901 W Mem Dr
Houghton, MI 49931-2475

Phone

(906) 482-9400

Fax

(906) 483-0269

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence J Pollack, PHD.

Title

Executive Director

Phone

(906) 482-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Copper Country Community Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Copper Country Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houghton, MI
  • NPI 1225391584
  NPD tax ID

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1306164017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MEM DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312475",
            "telephone_number": "906-482-9400",
            "fax_number": "906-483-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MEM DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312475",
            "telephone_number": "906-482-9400",
            "fax_number": "906-483-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-482-9400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795702",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Forrest Cole, MSW
• Anne Elisabeth Cooke, PT
• Laura Cooley, LPC
• Copper Country Chiropractic, PLLC
• Copper Country Community Mental Health Services
• Copper Country Community Mental Health Services
• Copper Country Family Dentistry P.C.
• Copper Country Mental Health
• Copper Country Physical Therapy
• Copper Palette & Associates

• Community/Behavioral Health Agency in Houghton, MI
• Providers in Houghton, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.