Community Counseling and Mentoring Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401005551 Issued in MI

Legal business name

COMMUNITY COUNSELING AND MENTORING SERVICES

Practice address

312 Superior Mall
Port Huron, MI 48060-3833

Phone

(810) 987-2681

Fax

(810) 987-2784

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Ann Gavin, BA

Title

Office Manager

Phone

(810) 987-2681

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Marie Stoneberg, MA, LPC

  • Mental Health Counselor
  • Port Huron, MI
  • NPI 1295882702
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1376741165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SUPERIOR MALL",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603833",
            "telephone_number": "810-987-2681",
            "fax_number": "810-987-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SUPERIOR MALL",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603833",
            "telephone_number": "810-987-2681",
            "fax_number": "810-987-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING AND MENTORING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-987-2681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401005551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Collins
• Felipe Colon III
• Colonial Woods Missionary Church
• Comfort Prosthetics & Orthotics Inc
• Community Counseling & Mentoring Services
• Community Enterprises of St. Clair County
• Jessica Lynn Compton
• Shelby Conard
• Michael Patrick Connelly
• Shannon Marie Conover

• Community/Behavioral Health Agency in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.