Organization Active NPI

McCarthy Counseling Services, LLC

  • Clinical Social Worker
  • Union City, MI
National Provider Identifier
1437804986
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MCCARTHY COUNSELING SERVICES, LLC
Practice address
996 Arbogast Rd
Union City, MI 49094-9750
Phone
(219) 242-4862
Fax
(219) 529-6297
NPI assigned
Feb 14, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Lisa Hartman-McCarthy
Title
Office Manager
Phone
(219) 242-4862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

996 Arbogast Rd
Union City, MI 49094-9750

Mailing address

996 Arbogast Rd
Union City, MI 49094-9750
Phone (219) 242-4862

Other practice location 1

123 Ellen Street
#62
Union City, MI 49094-9750
Phone (219) 242-4862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240410003469 IN Part B Supplier - Clinic/Group Practice 9436597374 Receives reassigned benefits from 1 practitioner
Practice locations: Valparaiso, IN
O20240410003822 MI Part B Supplier - Clinic/Group Practice 9436597374 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, MI

National Provider Directory

National Provider Directory

Locations

2106 Morthland Dr
Valparaiso, IN 46383
Phone (219) 228-1972

123 Ellen St
#62
Union City, MI 49094
Phone (219) 242-4862

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1437804986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 ARBOGAST RD",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490949750",
            "telephone_number": "219-242-4862",
            "fax_number": "219-529-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 ARBOGAST RD",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490949750",
            "telephone_number": "219-242-4862",
            "fax_number": "219-529-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Ellen Street",
            "address_2": "#62",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "MI",
            "postal_code": "490949750",
            "country_code": "US",
            "telephone_number": "219-242-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCCARTHY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HARTMAN-MCCARTHY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-242-4862"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.