NPIMap

Advantage Counseling and Educational Services, Inc.

Organization Active NPI Case Management Agency · Croswell, MI

NPI 1477580736 · NPPES record last updated Jan 26, 2021

Key facts

NPI
1477580736
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
6801083905 (MI)
Legal business name
ADVANTAGE COUNSELING AND EDUCATIONAL SERVICES, INC.
Practice address
81 N Howard Ave
Croswell, MI 48422-1222
Phone
(810) 679-0200
Fax
(810) 679-0200
NPI assigned
Jun 26, 2006
Organization subpart
No

Authorized official

Name
Mr. Jerry J Hosterman, LMSW NPI 1033226824
Title
President
Phone
(810) 679-0200

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

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

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060905000263 MI Part B Supplier - Clinic/Group Practice 4082618038 Receives reassigned benefits from 2 practitioners
Practice locations: Croswell, MI; Port Huron, MI

National Provider Directory

Tax ID family
Advantage Counseling and Educational Services Inc (2 organizations share this tax ID)

Locations

51 Brown St
Ste 6
Croswell, MI 48422
Phone (810) 679-0200

81 N Howard Ave
Croswell, MI 48422
Phone (810) 679-0200

309 Huron Ave
Ste 309F
Port Huron, MI 48060
Phone (810) 966-9191

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6801083748 MI
Case Management Agency 251B00000X 6801083905 MI Yes

Addresses

Primary practice location

81 N Howard Ave
Croswell, MI 48422-1222

Mailing address

81 N Howard Ave
Croswell, MI 48422-1222
Phone (810) 679-0200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 26, 2021.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1477580736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-0200",
            "fax_number": "810-679-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE COUNSELING AND EDUCATIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HOSTERMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-679-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801083748",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801083905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croswell, MI

All providers in Croswell, MI · Case Management Agency in Michigan

Sources for this page

Verify at the official NPI Registry.