Active NPI
Catholic Social Services of Muskegon
Doing business as Catholic Social Services
- Mental Health Counselor
- Muskegon, MI
National Provider Identifier
1720098783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CATHOLIC SOCIAL SERVICES OF MUSKEGON
- Doing business as
- Catholic Social Services
- Practice address
- 1095 3Rd St
Suite 125
Muskegon, MI 49441-1976 - Phone
- (231) 726-4735
- Fax
- (231) 722-0789
- NPI assigned
- Aug 9, 2006
- Last updated
- Feb 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra G Pattenger
- Title
- Insurance Specialists
- Phone
- (231) 726-4735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1095 3Rd St
Suite 125
Muskegon, MI 49441-1976
Mailing address
1095 3Rd St
Suite 125
Muskegon, MI 49441-1976
Phone (231) 726-4735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1712452 | Medicaid | MI |
Other names 1
- Catholic Social Services
National Provider Directory
National Provider DirectoryLocations
6 E Main St
Fremont, MI 49412
Phone (231) 726-4735
11 Washington St
Hart, MI 49420
Phone (231) 531-9547
1095 3rd St
Ste 125
Muskegon, MI 49441
Phone (231) 726-4735
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Muskegon, MI
- NPI 1477625259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1720098783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 3RD ST",
"address_2": "SUITE 125",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411976",
"telephone_number": "231-726-4735",
"fax_number": "231-722-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 3RD ST",
"address_2": "SUITE 125",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411976",
"telephone_number": "231-726-4735",
"fax_number": "231-722-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC SOCIAL SERVICES OF MUSKEGON",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "PATTENGER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "INSURANCE SPECIALISTS",
"authorized_official_telephone_number": "231-726-4735",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1712452",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catholic Social Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.