Organization Active NPI

Dove Health Alliance, Inc.

  • Mental Health Counselor
  • Jackson, MI
National Provider Identifier
1881718906
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DOVE HEALTH ALLIANCE, INC.
Practice address
602 W Michigan Ave
Jackson, MI 49202
Phone
(517) 783-5334
Fax
(571) 783-6064
NPI assigned
Mar 16, 2007
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mrs. Dian Kay Breining, LPC
Title
Ceo
Phone
(517) 783-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

602 W Michigan Ave
Jackson, MI 49202

Mailing address

602 W Michigan Ave
Jackson, MI 49202
Phone (517) 783-5334

Other identifiers 2

IdentifierTypeStateIssuer
0C80042OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
1881718906OtherMINPI

Other names 1

  • Dove Counseling, Inc. Other name

National Provider Directory

National Provider Directory

Locations

209 E Washington Ave
Ste 241
Jackson, MI 49201
Phone (517) 783-5334

1188 N W Ave
Jackson, MI 49202
Phone (517) 783-5334

Practitioners & affiliated clinicians

Practitioners 5

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1881718906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-783-5334",
            "fax_number": "571-783-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49202",
            "telephone_number": "517-783-5334",
            "fax_number": "571-783-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE HEALTH ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "BREINING",
        "authorized_official_first_name": "DIAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-783-5334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0C80042",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881718906",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Counseling, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.