Individual provider Active NPI

Cherie Lynn Coopersmith, LPC

  • Professional Counselor
  • Saginaw, MI
National Provider Identifier
1508404807
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone
(989) 220-3060
NPI assigned
Dec 17, 2019
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896

Mailing address

500 Hancock St
Saginaw, MI 48602-4224
Phone (989) 797-3400

Other practice location 1

500 Hancock St
Saginaw, MI 48602-4224
Phone (989) 797-3400

Other identifiers 1

IdentifierTypeStateIssuer
6401222373OtherMILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.sccmha.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202001150 MI Practitioner - Mental Health Counselor 2860845138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mind Therapy & Wellness Professional CurrentSince Sep 1, 2023 Accepting new patients
Maple Leaf Counseling Services LLC Mental Health CurrentSince Jan 8, 2023 Accepting new patients

Locations

120 N Michigan Ave
Ste 212
Saginaw, MI 48602
Phone (989) 239-5696

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1508404807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HANCOCK ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024224",
            "telephone_number": "989-797-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385896",
            "telephone_number": "989-220-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024224",
            "country_code": "US",
            "telephone_number": "989-797-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPERSMITH",
        "first_name": "CHERIE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6401222373",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sccmha.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Hancock St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486024224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.