Organization Active NPI

Samaritas Lutheran Social Services of Michigan

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, MI
National Provider Identifier
1972860005
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN
Practice address
128 S Cochran Ave
Charlotte, MI 48813-1510
Phone
(517) 325-9090
Fax
(517) 325-9091
NPI assigned
Apr 13, 2012
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Bridgette Zappacosta
Title
Cfo
Phone
(313) 308-2768

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Social Worker 104100000X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Foster Care Agency 253J00000X CB390258392 MI
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

128 S Cochran Ave
Charlotte, MI 48813-1510

Mailing address

8131 E Jefferson Ave
Detroit, MI 48214-2610
Phone (269) 345-5776

Other practice location 1

1803 Whites Rd
Suite 5
Kalamazoo, MI 49008-2883
Phone (269) 345-5776

Other practice location 2

524 Washington Ave
Grand Haven, MI 49417-1455
Phone (616) 516-9985

Other practice location 3

2450 Van Ommen Dr
Holland, MI 49424-8085
Phone (616) 516-9985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324001690 MI Part B Supplier - Clinic/Group Practice 6305992421 Receives reassigned benefits from 5 practitioners
Practice locations: Charlotte, MI; Troy, MI; Lansing, MI; Kalamazoo, MI; Grand Rapids, MI; Detroit, MI; Holland, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

420 Covered Vlg
Belding, MI 48809
Phone (616) 215-2307

128 S Cochran Ave
Charlotte, MI 48813
Phone (517) 231-8434

8201 Sylvester St
Detroit, MI 48214
Phone (269) 270-2869

524 Washington Ave
Grand Haven, MI 49417
Phone (616) 516-9985

2450 Van Ommen Dr
Ste C
Holland, MI 49424
Phone (616) 350-7781

1803 Whites Rd
Ste 5
Kalamazoo, MI 49008
Phone (269) 345-5776

4341 S Westnedge Ave
Ste 2000
Kalamazoo, MI 49008
Phone (269) 270-2869

1545 Keystone Ave
Lansing, MI 48911
Phone (517) 321-7663

2170 E Big Beaver Rd
Troy, MI 48083
Phone (810) 705-3939

2170 E Big Beaver Rd
Ste B
Troy, MI 48083
Phone (248) 423-2760

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1972860005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "269-345-5776",
            "fax_number": "269-345-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131510",
            "telephone_number": "517-325-9090",
            "fax_number": "517-325-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Whites Rd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490082883",
            "country_code": "US",
            "telephone_number": "269-345-5776",
            "fax_number": "269-345-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494171455",
            "country_code": "US",
            "telephone_number": "616-516-9985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Van Ommen Dr",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248085",
            "country_code": "US",
            "telephone_number": "616-516-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ZAPPACOSTA",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-308-2768"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "CB390258392",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.