Organization Active NPI

Olive & Oak Therapy, LLC

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1548844368
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OLIVE & OAK THERAPY, LLC
Practice address
112 S Main St
Mt Pleasant, MI 48858-2326
Phone
(989) 259-8126
Fax
(888) 496-0170
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Katie Leigh Most, LMSWNPI 1033586854
Title
Owner
Phone
(989) 259-8126

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

112 S Main St
Mt Pleasant, MI 48858-2326

Mailing address

112 S Main St
Mount Pleasant, MI 48858-2326
Phone (989) 259-8126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104002278 MI Part B Supplier - Clinic/Group Practice 4183015092 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

206 W Michigan St
Mount Pleasant, MI 48858

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1548844368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582326",
            "telephone_number": "989-259-8126",
            "fax_number": "888-496-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582326",
            "telephone_number": "989-259-8126",
            "fax_number": "888-496-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE & OAK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MOST",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-259-8126",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.