Individual provider Active NPI

Dawn Harrison, LMFT

  • Marriage & Family Therapist
  • Fremont, MI
National Provider Identifier
1760750210
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006169 Issued in MI
Practice address
106 S Stewart Ave
Fremont, MI 49412-1624
Phone
(231) 335-1718
NPI assigned
Dec 12, 2011
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FJ00162300 NJ
Marriage & Family Therapist 106H00000X 4101006169 MI Primary

Addresses

Primary practice location

106 S Stewart Ave
Fremont, MI 49412-1624

Mailing address

PO Box 10
Mason, MI 48854-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001916 MI Practitioner - Marriage and Family Therapist 4183156730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling PLLCGroup PAC ID 1355670233, 11 clinicians

Practice addresses (Care Compare)

6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101006169MIMDMarriage & Family Therapist
37FJ00162300NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling PLLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

106 S Stewart Ave
Fremont, MI 49412
Phone (231) 335-1718

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

296 W Clay Ave
Muskegon, MI 49440
Phone (231) 335-1718

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1760750210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121624",
            "telephone_number": "231-335-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FJ00162300",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

Verify at the official NPI Registry.