NPIMap

Organization Active NPI

Catholic Family Service

  • Mental Health Counselor
  • Saginaw, MI
National Provider Identifier
1356395685
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATHOLIC FAMILY SERVICE
Practice address
710 Michigan Avenue
Saginaw, MI 48602-4372
Phone
(989) 753-8446
Fax
(989) 753-2582
NPI assigned
May 20, 2006
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Thomas P Conklin, LMSW
Title
Executive Director
Phone
(989) 797-6638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

710 Michigan Avenue
Saginaw, MI 48602-4372

Mailing address

710 Michigan Avenue
Saginaw, MI 48602-4372
Phone (989) 753-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000325 MI Part B Supplier - Clinic/Group Practice 1052473923 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Saginaw, MI; Bay City, MI; Mt Pleasant, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Catholic Family Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

710 N Michigan Ave
Saginaw, MI 48602
Phone (989) 753-8446

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1356395685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MICHIGAN AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024372",
            "telephone_number": "989-753-8446",
            "fax_number": "989-753-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MICHIGAN AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024372",
            "telephone_number": "989-753-8446",
            "fax_number": "989-753-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-797-6638",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.