NPIMap

Organization Active NPI

Catholic Social Services

  • Mental Health Counselor
  • Muskegon, MI
National Provider Identifier
1386864478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATHOLIC SOCIAL SERVICES
Practice address
1095 3Rd St
Suite 125
Muskegon, MI 49441-1976
Phone
(231) 726-4735
Fax
(231) 722-0789
NPI assigned
Apr 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra G Pattenger
Title
Billing Superviser
Phone
(231) 726-4735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1095 3Rd St
Suite 125
Muskegon, MI 49441-1976

Mailing address

6660 Blair LN
Holland, MI 49424-7443
Phone (616) 796-9595

National Provider Directory

National Provider Directory
Tax ID family
Catholic Social Service5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386864478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 BLAIR LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247443",
            "telephone_number": "616-796-9595",
            "fax_number": "616-796-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 3RD ST",
            "address_2": "SUITE 125",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411976",
            "telephone_number": "231-726-4735",
            "fax_number": "231-722-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTENGER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING SUPERVISER",
        "authorized_official_telephone_number": "231-726-4735"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.