Tri-Cities DBT & Trauma

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRI-CITIES DBT & TRAUMA

Practice address

1807 Sylvan LN
Midland, MI 48640-6760

Phone

(989) 906-0433

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Grace Knutson, LPCNPI 1528474251

Title

Mental Health Counselor

Phone

(989) 906-0433

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Sara Grace Knutson, MA, LPC

  • Professional Counselor
  • Midland, MI
  • NPI 1528474251
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1316557523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W MAIN ST STE 2600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405191",
            "telephone_number": "989-906-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SYLVAN LN",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406760",
            "telephone_number": "989-906-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES DBT & TRAUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "989-906-0433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Linh an Tran
• Elizabeth Trebilcock, PA
• Megan Elizabeth Trebilcock
• Kaitlyn Elise Trevino
• Tri City Birth Collective LLC
• Tri-City Soft Tissue & Spine PLLC
• Linde Marie Trieloff, DC
• Albert Trieu, DDS
• Craig Tripp
• Joseph Cole Trsko

• Professional Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.