NPIMap

Organization Active NPI

Pawsitive Counseling Center PC

  • Professional Counselor
  • Fremont, MI
National Provider Identifier
1447885447
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PAWSITIVE COUNSELING CENTER PC
Practice address
106 S Stewart Ave
Fremont, MI 49412-1624
Phone
(231) 923-8568
Fax
(231) 722-3018
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Mary J Thompson-RottierNPI 1841310489
Title
Owner
Phone
(231) 923-8568

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

106 S Stewart Ave
Fremont, MI 49412-1624

Mailing address

106 S Stewart Ave
Fremont, MI 49412-1624
Phone (231) 923-8568

Other practice location 1

326 Myrtle Crossing Dr
Statesboro, GA 30458-4688
Phone (912) 764-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210524002140 MI Part B Supplier - Clinic/Group Practice 8820497894 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, MI
O20240402000594 GA Part B Supplier - Clinic/Group Practice 8820497894 Receives reassigned benefits from 1 practitioner
Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

326 Myrtle Crossing Dr
Ste 100
Statesboro, GA 30458
Phone (912) 454-2862

Practitioners & affiliated clinicians

Practitioners 8

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": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1447885447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121624",
            "telephone_number": "231-923-8568",
            "fax_number": "231-722-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121624",
            "telephone_number": "231-923-8568",
            "fax_number": "231-722-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Myrtle Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304584688",
            "country_code": "US",
            "telephone_number": "912-764-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAWSITIVE COUNSELING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-ROTTIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-923-8568"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.