NPIMap

Organization Active NPI

North Coast Counseling Services, LLC

  • Mental Health Counselor
  • Hancock, MI
National Provider Identifier
1366624116
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401007378 Issued in MI
Legal business name
NORTH COAST COUNSELING SERVICES, LLC
Practice address
300 Dunstan St
Hancock, MI 49930-2178
Phone
(906) 523-5580
Fax
(888) 873-8402
NPI assigned
Dec 4, 2007
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Tim Payment, MS, LPC, NCC, ICAADC
Title
Owner-Therapist
Phone
(906) 523-5580

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6401007378 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401007378 MI
Mental Health Counselor 101YM0800X 6401007378 MI Primary
Professional Counselor 101YP2500X 6401007378 MI
Clinical Social Worker 1041C0700X 6801032914 MI
Clinical Social Worker 1041C0700X 6801089915 MI
Community/Behavioral Health Agency 251S00000X 6401007378 MI

Addresses

Primary practice location

300 Dunstan St
Hancock, MI 49930-2178

Mailing address

300 Dunstan Street
Hancock, MI 49930
Phone (906) 523-5580

National Provider Directory

National Provider Directory

Locations

300 Dunstan St
Hancock, MI 49930
Phone (906) 523-5580

300 Dunstan St
Ste 1
Hancock, MI 49930
Phone (906) 523-5580

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1366624116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DUNSTAN STREET",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-523-5580",
            "fax_number": "888-873-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DUNSTAN ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302178",
            "telephone_number": "906-523-5580",
            "fax_number": "888-873-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "PAYMENT",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER-THERAPIST",
        "authorized_official_telephone_number": "906-523-5580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC, NCC, ICAADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6401007378",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401007378",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007378",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801032914",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089915",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401007378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.