NPIMap

Organization Active NPI

Suunta Integrative Health

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1720646508
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUUNTA INTEGRATIVE HEALTH
Practice address
1209 N 3Rd St
Marquette, MI 49855-3009
Phone
(906) 286-3254
NPI assigned
Jun 5, 2019
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Melissa Ann Copenhaver, DNP, FNP-BC, LMSWNPI 1598104572
Title
Owner
Phone
(906) 286-3254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Registered Nurse 163W00000X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

1209 N 3Rd St
Marquette, MI 49855-3009

Mailing address

1600 Bayview Dr
Marquette, MI 49855-5025
Phone (906) 286-3254

Other practice location 1

97 S 4th St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699 ext. 1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191025000914 MI Part B Supplier - Clinic/Group Practice 8022340900 Receives reassigned benefits from 15 practitioners
Practice locations: Escanaba, MI; Marquette, MI; Ishpeming, MI

National Provider Directory

National Provider Directory

Locations

308 Cleveland Ave
Ste 202
Ishpeming, MI 49849
Phone (906) 273-0964

1209 N 3rd St
Marquette, MI 49855
Phone (906) 273-0964

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1720646508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BAYVIEW DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555025",
            "telephone_number": "906-286-3254",
            "fax_number": "906-273-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-286-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 S 4th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-228-9699 x1001",
            "fax_number": "888-977-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUUNTA INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-286-3254",
        "authorized_official_credential": "DNP, FNP-BC, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.