New Beginnings Outpatient Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW BEGINNINGS OUTPATIENT THERAPY, LLC

Practice address

601 E Lakeshore Dr Ste 102
Manistique, MI 49854-1692

Phone

(906) 869-4350

NPI assigned

Jul 23, 2020

Last updated

Nov 24, 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

Austin Nichole McDonough, LMSWNPI 1558544213

Title

Outpatient Therapist

Phone

(906) 869-4350

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Austin McDonough, LLMSW

  • Clinical Social Worker
  • Manistique, MI
  • NPI 1558544213
  Medicare reassignment Care Compare group NPD Authorized official
• Kellie Campbell, LLMSW

  • Clinical Social Worker
  • Manistique, MI
  • NPI 1285139642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1346859642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E LAKESHORE DR STE 102",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541692",
            "telephone_number": "906-869-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LAKESHORE DR STE 102",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541692",
            "telephone_number": "906-869-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS OUTPATIENT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "906-869-4350",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Michalik, R.PH.
• Tom R. Miles, D.O.
• Sarah Jo Miller, LMT
• Kathie Ann Mishica
• Leonard Mooi Jr., MD
• John D Niemela, DPM
• Mary Noble, PA-C
• Linda Norlander
• North Woods Home Nursing
• North Woods Home Nursing

• Mental Health Clinic/Center (Including Community Mental Health Center) in Manistique, MI
• Providers in Manistique, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.