NPIMap

Organization Active NPI

Fusion Consulting & Mental Health Services, LLC

Doing business as Fcmhs

  • Mental Health Counselor
  • Lapeer, MI
National Provider Identifier
1689200297
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FUSION CONSULTING & MENTAL HEALTH SERVICES, LLC
Doing business as
Fcmhs
Practice address
550 S Saginaw St
Lapeer, MI 48446-2645
Phone
(810) 255-0888
Fax
(810) 788-1043
NPI assigned
Mar 15, 2020
Organization subpart
Yes
Parent organization
FUSION CONSULTING & MENTAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Shannon R Jordan, LPCNPI 1124568837
Title
Owner
Phone
(252) 916-4881

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

550 S Saginaw St
Lapeer, MI 48446-2645

Mailing address

550 S Saginaw St
Lapeer, MI 48446-2645
Phone (810) 660-8686

Other names 1

  • FCMHS Doing business as

National Provider Directory

National Provider Directory
Part of
Fusion Consulting Mental Health Services LLC

Locations

550 S Saginaw St
Lapeer, MI 48446
Phone (810) 255-0888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1689200297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S SAGINAW ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462645",
            "telephone_number": "810-660-8686",
            "fax_number": "810-788-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S SAGINAW ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462645",
            "telephone_number": "810-255-0888",
            "fax_number": "810-788-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION CONSULTING & MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FUSION CONSULTING & MENTAL HEALTH SERVICES, LLC",
        "enumeration_date": "2020-03-15",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-916-4881",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCMHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FCMHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.