Individual provider Active NPI

Melissa A Athmann, MA, LPC

  • Professional Counselor
  • Saranac, MI
National Provider Identifier
1457535627
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007813 Issued in MI
Practice address
92 Bridge Street
Saranac, MI 48881
Phone
(616) 642-6466
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401007813MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Four Health Family Resource Center Inc Professional PastSince Aug 1, 2018 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007813 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

92 Bridge Street
Saranac, MI 48881

Mailing address

92 Bridge Street
PO Box 178
Saranac, MI 48881
Phone (616) 642-6466

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 24, 2007.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1457535627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BRIDGE STREET",
            "address_2": "PO BOX 178",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "48881",
            "telephone_number": "616-642-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRIDGE STREET",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "48881",
            "telephone_number": "616-642-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHMANN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.