Into the Woods Retreat

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801088733 Issued in MI

Legal business name

INTO THE WOODS RETREAT

Practice address

7178 Butternut Dr
West Olive, MI 49460-9734

Phone

(616) 498-0958

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Mercdes Saurbaugh, LMSW

Title

Therapist

Phone

(616) 498-0958

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercedes B Saurbaugh, LMSW

  • Clinical Social Worker
  • West Olive, MI
  • NPI 1356465868
  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1962876243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7178 BUTTERNUT DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609734",
            "telephone_number": "616-498-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7178 BUTTERNUT DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609734",
            "telephone_number": "616-498-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO THE WOODS RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "SAURBAUGH",
        "authorized_official_first_name": "MERCDES",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-498-0958",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801088733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ann Gilbert, FNP-C
• Glenys Del Mar Gonzalez
• Amy Grindle
• Andrew G Hicks, MS, MA, LLP, CADC
• Melanie Bernice Homik
• Jack R. Roossien Jr., M.D.P.C.
• Jay Emerson Kellaway, M.D.
• Laura Ann Koster, RN
• Living Hope Home Care LLC
• Lydias House

• Community/Behavioral Health Agency in West Olive, MI
• Providers in West Olive, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.