Organization Active NPI

The Samaritan Counseling Center of Southwestern Michigan

  • Clinical Psychologist
  • Benton Harbor, MI
National Provider Identifier
1720288152
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006539 Issued in MI
Legal business name
THE SAMARITAN COUNSELING CENTER OF SOUTHWESTERN MICHIGAN
Practice address
1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone
(269) 926-6199
Fax
(269) 926-6780
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Christy Lynn Plangger
Title
Office Manager
Phone
(269) 926-6199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301006539 MI Primary

Addresses

Primary practice location

1850 Colfax Ave
Benton Harbor, MI 49022-6753

Mailing address

1850 Colfax Ave
Benton Harbor, MI 49022-6753
Phone (269) 926-6199

Other names 1

  • CENTERED ON WELLNESS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000068 MI Part B Supplier - Clinic/Group Practice 6608837745 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Benton Harbor, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1850 Colfax Ave
Benton Harbor, MI 49022
Phone (269) 926-6199

Practitioners & affiliated clinicians

Practitioners 2

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1720288152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COLFAX AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226753",
            "telephone_number": "269-926-6199",
            "fax_number": "269-926-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAMARITAN COUNSELING CENTER OF SOUTHWESTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "PLANGGER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-926-6199"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERED ON WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.