Organization Active NPI

John B Ridgeway,LLC

Doing business as Still Point Counseling Center

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1861412371
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003780 Issued in MI
Legal business name
JOHN B RIDGEWAY,LLC
Doing business as
Still Point Counseling Center
Practice address
G-4511 Miller Road, 2ND Floor
Flint, MI 48507
Phone
(810) 720-0640
Fax
(810) 720-0640
NPI assigned
Jul 20, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. John Burns Ridgeway, MA,LLP,LSW,CAC-1,SAPNPI 1881624146
Title
Sole Owner
Phone
(810) 720-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 101948. CAC-1 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X SAP MI
Clinical Psychologist 103TC0700X 6301003780 MI Primary
Clinical Social Worker 1041C0700X 6801013086 MI

Addresses

Primary practice location

G-4511 Miller Road, 2ND Floor
Flint, MI 48507

Mailing address

G-4511 Miller Road, 2ND Floor
Flint, MI 48507
Phone (810) 720-0640

Other names 1

  • STILL POINT COUNSELING CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000469 MI Part B Supplier - Clinic/Group Practice 7517975659 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

2387 S Linden Rd
Ste 122
Flint, MI 48532
Phone (810) 720-0640

2425 S Linden Rd
Ste D105
Flint, MI 48532
Phone (810) 252-7994

Practitioners & affiliated clinicians

Practitioners 1

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1861412371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-4511 MILLER ROAD, 2ND FLOOR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-0640",
            "fax_number": "810-720-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-4511 MILLER ROAD, 2ND FLOOR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-720-0640",
            "fax_number": "810-720-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B RIDGEWAY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BURNS",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "810-720-0640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LLP,LSW,CAC-1,SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "101948. CAC-1",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SAP",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003780",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STILL POINT COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.