NPIMap

Organization Active NPI

Ten Sixteen Recovery Network

  • Addiction (Substance Use Disorder) Counselor
  • Clare, MI
National Provider Identifier
1770775090
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
180022 Issued in MI
Legal business name
TEN SIXTEEN RECOVERY NETWORK
Practice address
805 Beech St
Clare, MI 48617-1209
Phone
(989) 802-0742
Fax
(989) 802-0745
NPI assigned
Aug 10, 2007
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Lindsay Harper Dyer, MSSW
Title
Program Impact Manager
Phone
(989) 631-0241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180022 MI Primary

Addresses

Primary practice location

805 Beech St
Clare, MI 48617-1209

Mailing address

133 N Saginaw Rd
Midland, MI 48640-3350
Phone (989) 631-0241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528003478 MI Part B Supplier - Clinic/Group Practice 5395187975 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Midland, MI; Standish, MI; Mt Pleasant, MI; Gladwin, MI; Clare, MI; Big Rapids, MI

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ten Sixteen Recovery Network8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

805 Beech St
Clare, MI 48617
Phone (989) 802-0742

Practitioners & affiliated clinicians

Practitioners 4

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1770775090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-631-0241",
            "fax_number": "989-835-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171209",
            "telephone_number": "989-802-0742",
            "fax_number": "989-802-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN SIXTEEN RECOVERY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PROGRAM IMPACT MANAGER",
        "authorized_official_telephone_number": "989-631-0241",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "180022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.