Iron County Samaritan Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L112776 Issued in MI

Legal business name

IRON COUNTY SAMARITAN SERVICES, INC.

Practice address

117 W Genesee St
Suite 9
Iron River, MI 49935-1497

Phone

(906) 265-2000

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Dorrington Van Doren Jr., L.M.S.W.

Title

Executive Director

Phone

(906) 265-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Samaritan Counseling Centers of the U.P. Doing business as

Locations

Practitioners 4

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

• Martha Ann Davis, LPC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1558776104
  NPD (past)
• Debra Ann Harvey, LMSW

  • Clinical Social Worker
  • Iron River, MI
  • NPI 1023313558
  NPD (past)
• Billie Jo Hellen, M.S.W.

  • Clinical Social Worker
  • Ironwood, MI
  • NPI 1568707966
  NPD (past)
• Angela M Kurtz, LPC, CAADC, NCC

  • Mental Health Counselor
  • Iron Mountain, MI
  • NPI 1336583384
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1336466440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W GENESEE ST",
            "address_2": "SUITE 9",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351497",
            "telephone_number": "906-265-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W GENESEE ST",
            "address_2": "SUITE 9",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351497",
            "telephone_number": "906-265-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON COUNTY SAMARITAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "VAN DOREN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DORRINGTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-265-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "L112776",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2574-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING SERVICES CONTRACT (CM-F910)",
            "identifier": "COUN10-99131",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Counseling Centers of the U.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Clyde Hill II
• Jamie Hintz
• Iron County Community Hospitals Inc
• Iron County Community Hospitals, Inc.
• Iron County Internal Medicine Associates, PC
• Iron River Care Services Inc.
• Emily B Isaacson, PTA
• Megan Lynn Jacobs, OT
• Terrance P Kearney, DO
• Shannon Koski

• All providers in Iron River, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.