NPIMap

Organization Active NPI

Addiction Solutions Counseling

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1639188709
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801084226 Issued in MI
Legal business name
ADDICTION SOLUTIONS COUNSELING
Practice address
218 S. Washington
Mt Pleasant, MI 48858-2409
Phone
(989) 779-9449
Fax
(989) 779-2922
NPI assigned
Aug 6, 2006
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Kathryn Jeanette Ballinger, MSW, LMSW, CAACNPI 1235148347
Title
Owner
Phone
(989) 779-9449

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-00728 MI
Clinical Social Worker 1041C0700X 6801084226 MI Primary

Addresses

Primary practice location

218 S. Washington
Mt Pleasant, MI 48858-2409

Mailing address

218 S. Washington
Mt Pleasant, MI 48858-2409
Phone (989) 779-9449

Other identifiers 1

IdentifierTypeStateIssuer
1705289MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000573 MI Part B Supplier - Clinic/Group Practice 1557381951 Receives reassigned benefits from 4 practitioners
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory
Tax ID family
Addiction Solutions Cnslng Ctr PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

114 E Superior St
Alma, MI 48801
Phone (989) 968-4048

218 S Washington St
Mt Pleasant, MI 48858
Phone (989) 330-2800

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1639188709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S. WASHINGTON",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582409",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S. WASHINGTON",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582409",
            "telephone_number": "989-779-9449",
            "fax_number": "989-779-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION SOLUTIONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "BALLINGER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-779-9449",
        "authorized_official_credential": "MSW, LMSW, CAAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-00728",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289",
            "state": "MI"
        }
    ],
    "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 Jan 11, 2018; 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.