Organization Active NPI

Oasis Health for Mood & Body, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Traverse City, MI
National Provider Identifier
1952834236
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
640.101.4158 Issued in MI
Legal business name
OASIS HEALTH FOR MOOD & BODY, LLC
Practice address
812 S Garfield Ave
Ste J
Traverse City, MI 49686-3456
Phone
(231) 944-8200
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Jules Shellby, MA, LPC, NCC, ADS
Title
Licensed Professional Counselor
Phone
(231) 944-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 640.101.4158 MI Primary

Addresses

Primary practice location

812 S Garfield Ave
Ste J
Traverse City, MI 49686-3456

Mailing address

812 S Garfield Ave
Ste J
Traverse City, MI 49686-3456
Phone (231) 944-8200

National Provider Directory

National Provider Directory

Locations

812 S Garfield Ave
Ste J
Traverse City, MI 49686
Phone (231) 259-5649

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1952834236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "STE J",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-944-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "STE J",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-944-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH FOR MOOD & BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "SHELLBY",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "231-944-8200",
        "authorized_official_credential": "MA, LPC, NCC, ADS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "640.101.4158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.