Forward Path Counseling
Organization Active NPI Community/Behavioral Health Agency · Cheboygan, MI
NPI 1962941856 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1962941856
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 6801085202 (MI)
- Legal business name
- FORWARD PATH COUNSELING
- Practice address
- 520 N Main St
Suite 201
Cheboygan, MI 49721-1162 - Phone
- (231) 445-1691
- NPI assigned
- Feb 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Lynette Depeter-Schulz, M.A., L.M.S.W.
- Title
- Owner
- Phone
- (231) 445-1691
Practitioners 2
-
Lynette Depeter-Schulz, M.A., L.M.S.W.
-
Amber Lynn Howard, LLPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171228002524 | MI | Part B Supplier - Clinic/Group Practice | 0648538355 |
Receives reassigned benefits from 2 practitioners Practice locations: Cheboygan, MI |
National Provider Directory
Locations
520 N Main St
Ste 201
Cheboygan, MI 49721
Phone (231) 445-1691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801085202 | MI | Yes |
Addresses
Primary practice location
520 N Main St
Suite 201
Cheboygan, MI 49721-1162
Mailing address
2420 Trout Creek Rd
Cheboygan, MI 49721-8597
Other providers in Cheboygan, MI
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- FMG South Huron Street Michigan LLC
- James Craig Forrester
- Scott A Forsmark
- Pamela Susan Francken
- Robert Frank
- Christina Franka
- Laurence J Frechette III
- Lisa Gahn
All providers in Cheboygan, MI · Community/Behavioral Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.