Great Lakes Counseling P C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801064141 Issued in MI

Legal business name

GREAT LAKES COUNSELING P C

Practice address

1419 Nightingale LN
Kingsley, MI 49649-9272

Phone

(231) 263-2268

NPI assigned

Jan 13, 2012

Last updated

Jan 5, 2024By 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

Mr. David D Luce, ACSWNPI 1497812861

Title

Psychotherapist

Phone

(231) 263-2268

Specialties & licenses 2

Addresses

Other names 1

• David D. Luce, ACSW Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• David Dean Luce, ACSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1497812861
  Medicare reassignment Authorized official
• Brian Jeffery Chandler, D.C.

  • Chiropractor
  • Drummond Island, MI
  • NPI 1598014177
  NPD
• David C Byington, ACSW

  • Social Worker
  • Traverse City, MI
  • NPI 1619042488
  NPD (past)
• Carol Urquhart Kindt, M.S.W.

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1407937865
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1578834156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 NIGHTINGALE LN",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499272",
            "telephone_number": "231-263-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 NIGHTINGALE LN",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499272",
            "telephone_number": "231-263-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES COUNSELING P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2024-01-05",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "231-263-2268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801064141",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David D. Luce, ACSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maitland Leigh Garey
• Jenna Genereaux, LMSW
• Grace Abound LLC
• Grand Traverse County Health Department (K-Town Youth Care)
• Regina Gray, DR
• Heather Greenwald
• Alicia Marie Gregg
• James William Hall, D.D.S.
• Eleonora Harness, RN
• Olivia Heldt, CTRS

• Community/Behavioral Health Agency in Kingsley, MI
• Providers in Kingsley, 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 Jan 5, 2024; 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.