Active NPI
Alicia Chiasson
- Clinical Social Worker
- Mount Pleasant, MI
National Provider Identifier
1689264541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801109152
- Practice address
- 1009 Pebble Creek CT
Mount Pleasant, MI 48858-4549 - Phone
- (989) 572-0836
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 6801109152 | MI | Primary |
Addresses
Primary practice location
1009 Pebble Creek CT
Mount Pleasant, MI 48858-4549
Mailing address
1009 Pebble Creek CT
Mount Pleasant, MI 48858-4549
Phone (989) 572-0836
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 |
|---|---|---|---|
| 6801109152 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soul in Motion Therapy, LLC | Clinical | Current | Accepting new patients |
| Professional Consultation Services | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Rogers, AR
- NPI 1104796754
-
- Clinical Social Worker
- Northville, MI
- NPI 1508008608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1689264541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 PEBBLE CREEK CT",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488584549",
"telephone_number": "989-572-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 PEBBLE CREEK CT",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488584549",
"telephone_number": "989-572-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIASSON",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801109152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.