Individual provider Active NPI

Bailey Nicole Miller-Mather

  • Addiction (Substance Use Disorder) Counselor
  • Sault Sainte Marie, MI
National Provider Identifier
1316423726
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone
(906) 632-2370
Fax
(888) 977-2109
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711

Mailing address

97 S 4TH St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other names 1

  • Bailey Rutter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123001556 MI Practitioner - Clinical Social Worker 0042797706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Community Behavioral Health AuthorityGroup PAC ID 3870509490, 13 clinicians

Practice addresses (Care Compare)

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone (906) 632-2805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Community Behavioral Health Authority CurrentSince Dec 22, 2025 Accepting new patients

Locations

125 N Lake St
Manistique, MI 49854
Phone (906) 341-2144

3865 S Mackinac Trl
Sault Sainte Marie, MI 49783
Phone (906) 632-2805

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1316423726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "888-977-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833711",
            "telephone_number": "906-632-2370",
            "fax_number": "888-977-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-MATHER",
        "first_name": "BAILEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "RUTTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.