Justin McCammon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017065 Issued in MI

Practice address

960 M 60 E
Cassopolis, MI 49031-9339

Phone

(269) 445-2451

Fax

(269) 445-3216

NPI assigned

Feb 16, 2016

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cass County Community Mental Health Services

  dba Woodlands Behavioral Healthcare Network

  • Community/Behavioral Health Agency
  • Cassopolis, MI
  • NPI 1659375293
  NPD

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1710346945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 M 60 E",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319339",
            "telephone_number": "269-445-2451",
            "fax_number": "269-445-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 M 60 E",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319339",
            "telephone_number": "269-445-2451",
            "fax_number": "269-445-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMMON",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOODLANDS BEHAVIORAL HEALTHCARE NETWORK",
            "identifier": "1659375293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lutz, LBSW
• Crystal Lynn Mack-Smith
• Kristina Martinez
• Virginia Martynowicz
• Eleanor J McAndrew, MA
• Sheila Meese, LLPC
• Muktiraj Mehta, M.D.
• Alexandria Elizabeth Merkel-Fisher
• Mighty Warrior Wellness, PC
• Scot K Moore, DVM

• Mental Health Counselor in Cassopolis, MI
• Providers in Cassopolis, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.