NPIMap

Organization Active NPI

New Light Consultants

  • Adolescent and Children Mental Health Clinic/Center
  • Millington, MI
National Provider Identifier
1396938262
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
790026 Issued in MI
Legal business name
NEW LIGHT CONSULTANTS
Practice address
8511 State Rd
Millington, MI 48746-9446
Phone
(989) 871-6695
Fax
(989) 871-3663
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. Richard O Watkins Jr., MSW LMSWNPI 1750425435
Title
Executive Director
Phone
(989) 871-6695

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X 790026 MI
Adolescent and Children Mental Health Clinic/Center 261QM0855X 790026 MI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 790026 MI

Addresses

Primary practice location

8511 State Rd
Millington, MI 48746-9446

Mailing address

PO Box 359
8511 State St.
Millington, MI 48746-0359
Phone (989) 871-6695

National Provider Directory

National Provider Directory
Tax ID family
New Light Child Family Inst2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8511 State Rd
Millington, MI 48746
Phone (989) 871-6695

5397 Millington Rd
Millington, MI 48746
Phone (989) 871-6695

Practitioners & affiliated clinicians

Practitioners 9

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1396938262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "address_2": "8511 STATE ST.",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487460359",
            "telephone_number": "989-871-6695",
            "fax_number": "989-871-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 STATE RD",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487469446",
            "telephone_number": "989-871-6695",
            "fax_number": "989-871-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-871-6695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "790026",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "790026",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "790026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.