NPIMap

Organization Active NPI

Emmaus Christian Counseling

  • Clinical Psychologist
  • Caro, MI
National Provider Identifier
1386204246
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EMMAUS CHRISTIAN COUNSELING
Practice address
302 N State St
Caro, MI 48723-1538
Phone
(989) 286-3600
Fax
(989) 286-3600
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Joy Rae ShawNPI 1194091363
Title
Owner
Phone
(989) 286-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

302 N State St
Caro, MI 48723-1538

Mailing address

3751 Wheeler Rd
Snover, MI 48472-9204

National Provider Directory

National Provider Directory

Locations

302 N State St
Ste B
Caro, MI 48723
Phone (989) 286-3600

6545 Church St
Cass City, MI 48726
Phone (989) 872-3333

3149 Main St
Ste 5
Marlette, MI 48453
Phone (810) 633-9211

6 Lexington St
Sandusky, MI 48471
Phone (989) 286-3600

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1386204246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 WHEELER RD",
            "city": "SNOVER",
            "state": "MI",
            "postal_code": "484729204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231538",
            "telephone_number": "989-286-3600",
            "fax_number": "989-286-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-286-3600"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.