Individual provider Active NPI

Paula Susann Warren

  • Professional Counselor
  • Battle Creek, MI
National Provider Identifier
1871004549
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013627 Issued in MI
Practice address
71 S 20TH St Ste 102
Battle Creek, MI 49015-2950
Phone
(269) 359-1066
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013627 MI Primary

Addresses

Primary practice location

71 S 20TH St Ste 102
Battle Creek, MI 49015-2950

Mailing address

71 S 20TH St Ste 102
Battle Creek, MI 49015-2950
Phone (269) 359-1066

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240606003520 MI Practitioner - Mental Health Counselor 8921540832 Practice locations: Battle Creek, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401013627MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alive at Last Ministries Professional Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1871004549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 S 20TH ST STE 102",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152950",
            "telephone_number": "269-359-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S 20TH ST STE 102",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152950",
            "telephone_number": "269-359-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "PAULA",
        "middle_name": "SUSANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.