Individual provider Active NPI

Nina Lynn Whitehill, M.A., L.P.C.

  • Professional Counselor
  • Saint Johns, MI
National Provider Identifier
1376836619
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005119 Issued in MI
Practice address
1055 S US Highway 27
Saint Johns, MI 48879-2437
Phone
(989) 224-3000
Fax
(989) 224-0951
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005119 MI Primary

Addresses

Primary practice location

1055 S US Highway 27
Saint Johns, MI 48879-2437

Mailing address

1055 S US Highway 27
Saint Johns, MI 48879-2437
Phone (989) 224-3000

Other names 1

  • Nina Lynn Havens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607002425 MI Practitioner - Mental Health Counselor 6901348796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Apr 6, 2024 Accepting new patients
Clinton County Medical Center Psychological Services PLLC CurrentSince Apr 6, 2024 Accepting new patients

Locations

724 E Superior St
Alma, MI 48801
Phone (989) 292-6194

1055 S US Highway 27
Saint Johns, MI 48879
Phone (517) 224-3000

1505 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-0710

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1376836619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792437",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792437",
            "telephone_number": "989-224-3000",
            "fax_number": "989-224-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHILL",
        "first_name": "NINA",
        "middle_name": "LYNN",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "HAVENS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.