Organization Active NPI

Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mt Pleasant, MI
National Provider Identifier
1598932253
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
370057 Issued in MI
Legal business name
MICHIGAN THERAPEUTIC CONSULTANTS PC
Practice address
4273 Corporate Way
Mount Pleasant, MI 48858
Phone
(989) 953-4357
Fax
(989) 953-4358
NPI assigned
May 13, 2008
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Methadone Clinic 261QM2800X 370057 MI Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4273 Corporate Way
Mount Pleasant, MI 48858

Mailing address

5001 Spring Valley Rd Ste 600
Dallas, TX 75244-3946
Phone (214) 365-6100

Other practice location 1

913 W Holmes Rd Ste 189
Lansing, MI 48910-0434
Phone (517) 272-4357

Other practice location 2

711 S Illinois Ave
Gaylord, MI 49735-1763
Phone (989) 732-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181109000144 MI Part B Supplier - Clinic/Group Practice 0749534816 Receives reassigned benefits from 6 practitioners
Practice locations: Gaylord, MI; Lansing, MI; Mt Pleasant, MI
O20200107000914 MI Part B Supplier - Opioid Treatment Program (Otp) 0749534816 Practice locations: Gaylord, MI; Lansing, MI; Mt Pleasant, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2206600Michigan Therapeutic Consultants PC913 W Holmes Road Suite 189, Lansing, MI 48910Certificate of waiverDec 20, 2026
23D2206601Michigan Therapeutic Consultants, PC711 S Illinois Avenue, Gaylord, MI 49735Certificate of waiverDec 20, 2026
23D2206603Michigan Therapeutic Consultants, PC4273 Corporate Way, Mount Pleasant, MI 48858Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

711 S Illinois Ave
Gaylord, MI 49735
Phone (989) 732-4357

913 W Holmes Rd
Ste 189
Lansing, MI 48910
Phone (517) 272-4357

4273 Corporate Dr
Mt Pleasant, MI 48858
Phone (989) 953-4357

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1598932253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE WAY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-953-4357",
            "fax_number": "989-953-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 W Holmes Rd Ste 189",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489100434",
            "country_code": "US",
            "telephone_number": "517-272-4357",
            "fax_number": "989-272-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351763",
            "country_code": "US",
            "telephone_number": "989-732-4356",
            "fax_number": "989-732-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN THERAPEUTIC CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "370057",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.