Active NPI
Ann Marie Dean, LSW CAC
- Addiction (Substance Use Disorder) Counselor
- Muskegon, MI
National Provider Identifier
1609126036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1-04780
- Practice address
- 1823 Commerce St
Muskegon, MI 49441-2608 - Phone
- (231) 739-6840
- Fax
- (231) 722-4771
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1-04780 | MI | Primary |
| Social Worker | 104100000X | 6802064466 | MI |
Addresses
Primary practice location
1823 Commerce St
Muskegon, MI 49441-2608
Mailing address
1823 Commerce St
Muskegon, MI 49441-2608
Phone (231) 739-6840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802064466 | Other | MI | STATE OF MICHIGAN SOCIAL WORKER LISCENSE |
| 1-04708 | Other | MI | CERTIFIED ADDICTION COUNSELOR |
Other names 1
- Ann Marie Gauthier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-04780 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6802064466 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1609126036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412608",
"telephone_number": "231-739-6840",
"fax_number": "231-722-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 COMMERCE ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412608",
"telephone_number": "231-739-6840",
"fax_number": "231-722-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "LSW CAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "1-04780",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802064466",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN SOCIAL WORKER LISCENSE",
"identifier": "6802064466",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADDICTION COUNSELOR",
"identifier": "1-04708",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "GAUTHIER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.