NPIMap

Organization Active NPI

Branch County Community Mental Health Authority

Doing business as Pines Behavioral Health Services

  • Mental Health Counselor
  • Coldwater, MI
National Provider Identifier
1861430381
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRANCH COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Doing business as
Pines Behavioral Health Services
Practice address
200 Vista Dr
Coldwater, MI 49036
Phone
(517) 278-2129
Fax
(517) 279-8172
NPI assigned
Jun 4, 2006
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BRANCH COUNTY COMMUNITY MENTAL HEALTH AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Mrs. Robbin Sue Wilber, BBANPI 1174036446
Title
Finance Officer
Phone
(517) 278-2129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

200 Vista Dr
Coldwater, MI 49036

Mailing address

200 Vista Dr
Coldwater, MI 49036-1776
Phone (517) 278-2129

Other identifiers 2

IdentifierTypeStateIssuer
75-09-10497OtherMIBCBS
774352834MedicaidMI

Other names 1

  • Pines Behavioral Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000777 MI Part B Supplier - Clinic/Group Practice 4789612714 Receives reassigned benefits from 19 practitioners
Practice locations: Coldwater, MI

National Provider Directory

National Provider Directory
Tax ID family
Pines Behavioral Health Services5 organizations share this tax ID, including this one
Part of
Pines Behavioral Health Services

Other organizations with this tax ID 4

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

Locations

200 Orleans Blvd
Coldwater, MI 49036
Phone (517) 278-2129

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1861430381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VISTA DR",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361776",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VISTA DR",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-2129",
            "fax_number": "517-279-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANCH COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "WILBER",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "517-278-2129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75-09-10497",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774352834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.