Organization Active NPI

Red Arrow Counseling

  • Adult Mental Health Clinic/Center
  • Baroda, MI
National Provider Identifier
1336656396
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6401014744 Issued in MI
Legal business name
RED ARROW COUNSELING
Practice address
497 E Shawnee Rd
Baroda, MI 49101-8710
Phone
(614) 316-1300
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Patrick Kenneth Hanlin, LPC
Title
Professional Counselor
Phone
(614) 316-1300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6401014744 MI
Adult Mental Health Clinic/Center 261QM0850X 6401014744 MI Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6401014744 MI

Addresses

Primary practice location

497 E Shawnee Rd
Baroda, MI 49101-8710

Mailing address

316 S Bluff St
Berrien Springs, MI 49103-1202
Phone (614) 316-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1336656396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S BLUFF ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031202",
            "telephone_number": "614-316-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 E SHAWNEE RD",
            "city": "BARODA",
            "state": "MI",
            "postal_code": "491018710",
            "telephone_number": "614-316-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ARROW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "HANLIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "614-316-1300",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6401014744",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6401014744",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6401014744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baroda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.