Organization Active NPI

Muskegon Young Men's Christian Association

  • Health Educator
  • Muskegon, MI
National Provider Identifier
1770033292
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MUSKEGON YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
1115 3Rd St
Muskegon, MI 49441-2170
Phone
(231) 722-9622
Fax
(231) 525-2890
NPI assigned
Oct 7, 2016
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Gabrielle Gerlach
Title
Ceo
Phone
(231) 722-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

1115 3Rd St
Muskegon, MI 49441-2170

Mailing address

PO Box 1667
Muskegon, MI 49443-1667
Phone (231) 722-9622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000615 MI MDPP Supplier - in-Person MDPP Supplier 8729473814 Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1770033292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431667",
            "telephone_number": "231-722-9622",
            "fax_number": "231-525-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 3RD ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412170",
            "telephone_number": "231-722-9622",
            "fax_number": "231-525-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-722-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.