Organization Active NPI

Acg Therapy Services

  • Mental Health Counselor
  • Birch Run, MI
National Provider Identifier
1851853907
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ACG THERAPY SERVICES
Practice address
11831 Maple Rd Ste 4
Birch Run, MI 48415-8487
Phone
(248) 408-6478
NPI assigned
Apr 5, 2019
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Angela Gauthier, LMSW
Title
Clinical Master Social Work
Phone
(248) 408-6478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

11831 Maple Rd Ste 4
Birch Run, MI 48415-8487

Mailing address

1871 E Packard Dr
Saginaw, MI 48638-4516
Phone (248) 408-6478

National Provider Directory

National Provider Directory

Locations

731 E Mount Morris St
Ste 6
Mount Morris, MI 48458
Phone (810) 265-9746

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1851853907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 E PACKARD DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486384516",
            "telephone_number": "248-408-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11831 MAPLE RD STE 4",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158487",
            "telephone_number": "248-408-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACG THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINICAL MASTER SOCIAL WORK",
        "authorized_official_telephone_number": "248-408-6478",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birch Run, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.