Organization Active NPI

St. Johns Counseling and Therapy Services, P.C.

  • Social Worker
  • Saint Johns, MI
National Provider Identifier
1730272485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ST. JOHNS COUNSELING AND THERAPY SERVICES, P.C.
Practice address
1505 Waterford Parkway
St. Johns, MI 48879
Phone
(989) 227-9000
Fax
(989) 224-0058
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Molly A Minnick, MSW, LMSW, ACSWNPI 1164568424
Title
Owner
Phone
(989) 227-9000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1505 Waterford Parkway
St. Johns, MI 48879

Mailing address

PO Box 161
1505 Waterford Parkway
St. Johns, MI 48879
Phone (989) 227-9000

National Provider Directory

National Provider Directory

Locations

120 E Walker St
Ste B
Saint Johns, MI 48879
Phone (989) 227-9000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730272485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "address_2": "1505 WATERFORD PARKWAY",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-227-9000",
            "fax_number": "989-224-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WATERFORD PARKWAY",
            "city": "ST. JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "989-227-9000",
            "fax_number": "989-224-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS COUNSELING AND THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-227-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.