NPIMap

Organization Active NPI

Sanilac County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Sandusky, MI
National Provider Identifier
1306854880
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANILAC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Practice address
217 E Sanilac Rd
Sandusky, MI 48471-1383
Phone
(810) 648-0330
NPI assigned
Aug 3, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Mr. Wilbert Morris, LLP, QMHP, QIDP,CMHP
Title
Chief Executive Officer
Phone
(810) 648-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

217 E Sanilac Rd
Sandusky, MI 48471-1383

Mailing address

227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330

Other practice location 1

227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330

Other practice location 2

110 N Howard Ave Ste 3
Croswell, MI 48422-1256
Phone (810) 648-0330

Other practice location 3

237 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330

Other identifiers 2

IdentifierTypeStateIssuer
1181585MedicaidMI
0910720OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040809000195 MI Part B Supplier - Clinic/Group Practice 0749252062 Receives reassigned benefits from 23 practitioners
Practice locations: Croswell, MI; Sandusky, MI
O20041027000076 MI Part B Supplier - Clinic/Group Practice 0749252062 Receives reassigned benefits from 3 practitioners
Practice locations: Croswell, MI; Sandusky, MI

National Provider Directory

National Provider Directory
Tax ID family
Sanilac County Community Mental Health Authority4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

110 N Howard Ave
Croswell, MI 48422
Phone (810) 679-4141

110 N Howard Ave
Ste 3
Croswell, MI 48422
Phone (810) 679-4141

171 Dawson St
Sandusky, MI 48471
Phone (810) 648-4098

190 N Delaware St
Sandusky, MI 48471
Phone (810) 583-0412

237 E Sanilac Rd
Sandusky, MI 48471

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1306854880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711160",
            "telephone_number": "810-648-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711383",
            "telephone_number": "810-648-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 E Sanilac Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "MI",
            "postal_code": "484711160",
            "country_code": "US",
            "telephone_number": "810-648-0330",
            "fax_number": "810-648-0319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Howard Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Croswell",
            "state": "MI",
            "postal_code": "484221256",
            "country_code": "US",
            "telephone_number": "810-648-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 E Sanilac Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "MI",
            "postal_code": "484711160",
            "country_code": "US",
            "telephone_number": "810-648-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANILAC COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "810-648-0330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLP, QMHP, QIDP,CMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1181585",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0910720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.