NPIMap

Organization Active NPI

Mapleview Consultation Center PC

  • Clinical Social Worker
  • Paw Paw, MI
National Provider Identifier
1619022027
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059976 Issued in MI
Legal business name
MAPLEVIEW CONSULTATION CENTER PC
Practice address
181 W Michigan Ave
Suite 3
Paw Paw, MI 49079-1432
Phone
(269) 657-6025
Fax
(269) 657-5198
NPI assigned
Jan 24, 2007
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Ms. Laurie French, LMSWNPI 1013905959
Title
President
Phone
(269) 657-6025

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301010127 MI
Psychologist 103T00000X 6401006865 MI
Clinical Social Worker 1041C0700X 6801059976 MI Primary

Addresses

Primary practice location

181 W Michigan Ave
Suite 3
Paw Paw, MI 49079-1432

Mailing address

181 W Michigan Ave
Suite 3
Paw Paw, MI 49079-1432
Phone (269) 657-6025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260603003209 MI Part B Supplier - Clinic/Group Practice 2860963568 Receives reassigned benefits from 1 practitioner
Practice locations: Paw Paw, MI

National Provider Directory

National Provider Directory

Locations

181 W Michigan Ave
Ste 3
Paw Paw, MI 49079
Phone (269) 657-6025

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1619022027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE",
            "address_2": "SUITE 3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MICHIGAN AVE",
            "address_2": "SUITE 3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791432",
            "telephone_number": "269-657-6025",
            "fax_number": "269-657-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEVIEW CONSULTATION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-657-6025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010127",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6401006865",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.