County of Berrien Michigan

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF BERRIEN MICHIGAN

Practice address

2149 East Napier Avenue
Benton Harbor, MI 49022

Phone

(269) 926-7121

Fax

(269) 926-8129

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Guy Miller

Title

Health Officer

Phone

(269) 927-5639

Specialties & licenses 3

Addresses

Other identifiers 7

Other names 1

• Berrien County Health Department Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mistel De Varona, IBCLC

  • Lactation Consultant (Non-RN)
  • Benton Harbor, MI
  • NPI 1407310188
  NPD (past)
• Jennifer Sue Parrette, NP

  • Women's Health Nurse Practitioner
  • Benton Harbor, MI
  • NPI 1265788434
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1326005109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 EAST NAPIER AVENUE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "49022",
            "telephone_number": "269-926-7121",
            "fax_number": "269-926-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 EAST NAPIER AVENUE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "49022",
            "telephone_number": "269-926-7121",
            "fax_number": "269-926-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BERRIEN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "269-927-5639"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "4301038022",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235100054",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311882425",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773520659",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774478021",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "775057169",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235100063",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774077800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berrien County Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Berrien County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ntozake Cooper
• Maria Cortez
• Sabrina Costner
• Lutonya Iris Cottle
• Karl Cornelious Cotton
• Susann C Covert
• Erin Cowgill
• Elizabeth Cox, RBT
• Assanti Craig
• Lexi Marie Crenshaw-Moffitt

• Public Health or Welfare Agency in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.