Stacey Ann Nutter-Bear, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401010573 Issued in MI

Practice address

1199 Harris Ave
Tawas City, MI 48763-9681

Phone

(989) 362-8636

Fax

(989) 362-7800

NPI assigned

Jan 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bay-Arenac Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay City, MI
  • NPI 1154439438
  Medicare reassignment Care Compare group NPD
• Ausable Valley CMH

  • Clinic/Center
  • Tawas City, MI
  • NPI 1952628893
  NPD (past)
• Ausable Valley Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Tawas City, MI
  • NPI 1417011701
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1821236837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640310",
            "telephone_number": "989-362-8636",
            "fax_number": "989-362-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HARRIS AVE",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639681",
            "telephone_number": "989-362-8636",
            "fax_number": "989-362-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER-BEAR",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymichigan Medical Center Tawas
• Mymichigan Medical Center Tawas
• Mymichigan Medical Center Tawas
• Nikki Leclair
• Northwoods Internal Medicine, P.C.
• Casey Lynn Odell, P.T.
• Christopher J Oravitz, M.D.
• Orthopedic Solutions of Northern Michigan
• Erin Leslie Osborn, ANP-C
• Patricia Lynn Otremba

• Mental Health Counselor in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.