Active NPI
The Samaritan Counseling Center of Southwestern Michigan
- Clinical Psychologist
- Benton Harbor, MI
National Provider Identifier
1720288152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Social Worker
- Benton Harbor, MI
- NPI 1639379068
O20041104000068
National Provider Directory
National Provider Directory- Tax ID family
- Samaritan Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Benton Harbor, MI
- NPI 1386793065
-
- Clinical Social Worker
- Benton Harbor, MI
- NPI 1356514319
-
- Clinical Social Worker
- Benton Harbor, MI
- NPI 1639379068
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.
-
- Clinical Social Worker
- Benton Harbor, MI
- NPI 1003080888
-
- Psychologist
- Benton Harbor, MI
- NPI 1447309984
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.