Western Upper Peninsula Substance Abuse Services Coordinating Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

310030 Issued in MI

Legal business name

WESTERN UPPER PENINSULA SUBSTANCE ABUSE SERVICES COORDINATING AGENCY

Practice address

902 West Sharon Ave.
Houghton, MI 49931

Phone

(906) 482-7710

Fax

(906) 482-3217

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Rosalie King

Title

Governing Board Chair

Phone

(906) 482-7710

Specialties & licenses 3

Addresses

Other names 1

• Western UP Substance Abuse Services CA Other name

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417080813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WEST SHARON AVE.",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-482-7710",
            "fax_number": "906-482-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WEST SHARON AVE.",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-482-7710",
            "fax_number": "906-482-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UPPER PENINSULA SUBSTANCE ABUSE SERVICES COORDINATING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "GOVERNING BOARD CHAIR",
        "authorized_official_telephone_number": "906-482-7710"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "310030",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "220014",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "270025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western UP Substance Abuse Services CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacia D Ward, LLMSW
• Periann G Wasie, FNP
• R. Scott Webb, PH.D.
• Mary Louise Weed, LLMSW
• William Wertenberger, MS/OTR
• Donald Steven Williams, L.M.S.W.
• Patricia Anne Wood, MMH, LMFT
• Kathleen Yentz
• Cassie Marie Young, MS

• Case Management Agency in Houghton, MI
• Providers in Houghton, MI by specialty
• Case Management Agency in Michigan

• 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.