Individual provider Active NPI

Tonya Trezelle Cosey, MSW, LCSW

  • Mental Health Counselor
  • Cassopolis, MI
National Provider Identifier
1881699593
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1041C0700X Issued in MI
Practice address
960 E State St
Cassopolis, MI 49031-9339
Phone
(269) 445-2451
Fax
(269) 445-3216
NPI assigned
Jun 17, 2005
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1041C0700X MI Primary

Addresses

Primary practice location

960 E State St
Cassopolis, MI 49031-9339

Mailing address

313 Orchard St
Dowagiac, MI 49047-1253
Phone (269) 782-2640

Other names 1

  • Miss Tonya Trezelle Cosey Professional name

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
I20040608000184 MI Practitioner - Clinical Social Worker 3173506615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041C0700XMIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1881699593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ORCHARD ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471253",
            "telephone_number": "269-782-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E STATE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319339",
            "telephone_number": "269-445-2451",
            "fax_number": "269-445-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSEY",
        "first_name": "TONYA",
        "middle_name": "TREZELLE",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "COSEY",
            "middle_name": "TREZELLE",
            "prefix": "MISS",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cassopolis, MI

Sources for this page

Verify at the official NPI Registry.