NPIMap

Organization Active NPI

Advantage Counseling and Educational Services, Inc.

  • Case Management Agency
  • Croswell, MI
National Provider Identifier
1477580736
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6801083905 Issued in 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
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

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

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
Case Management Agency 251B00000X 6801083748 MI
Case Management Agency 251B00000X 6801083905 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

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

National Provider Directory
Tax ID family
Advantage Counseling and Educational Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 12

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.