Manistee Benzie CMH

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MANISTEE BENZIE CMH

Practice address

6051 Frankfort Hwy
Suite 200
Benzonia, MI 49616-9558

Phone

(877) 398-2013

Fax

(231) 882-2195

NPI assigned

Oct 25, 2005

Last updated

Jul 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna Nieman

Title

Finance Officer

Phone

(877) 398-2013

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Manistee Benzie CMH2 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.

• Manistee Benzie Community Mental Health

  • Community/Behavioral Health Agency
  • Manistee, MI
  • NPI 1699814905
  NPD tax ID

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1518957208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "address_2": "PO BOX 335",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639",
            "telephone_number": "877-398-2013",
            "fax_number": "231-723-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 200",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169558",
            "telephone_number": "877-398-2013",
            "fax_number": "231-882-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISTEE BENZIE CMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "877-398-2013",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Langlois, MSN, FNP-C
• Christopher Laninga, PA-C
• Asia Lopez-Chard
• Elizabeth Lozen, PA
• Manon Lutzke
• Anna Lyn Mapes, FNP
• Kaitlyn McBride
• Kandi J McKenzie
• Heather Messer
• Sally Jo Messersmith

• Community/Behavioral Health Agency in Benzonia, MI
• Providers in Benzonia, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.