| St Clair County Community Mental Health Authority | |
|
3111 Electric Ave Port Huron MI 48060-8127 | |
| (810) 985-8900 | |
| Not Available |
| Full Name | St Clair County Community Mental Health Authority |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3111 Electric Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Debra B. Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8109858900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Clair County Community Mental Health Authority 3111 Electric Avenue Port Huron MI 48060-8127 Ph: (810) 985-8900 | St Clair County Community Mental Health Authority 3111 Electric Ave Port Huron MI 48060-8127 Ph: (810) 985-8900 |
| NPI Number | 1689783672 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Medicare PECOS PAC ID | 7416861984 |
|---|---|
| Medicare Enrollment ID | O20031118000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689783672 | NPI | - | NPPES |
| 1708164 | Medicaid | MI | |
| 4349015 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrea L Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225118318 PECOS PAC ID: 5597758946 Enrollment ID: I20040403000144 |
| Provider Name | Bradley J Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720195829 PECOS PAC ID: 6901802354 Enrollment ID: I20061009000264 |
| Provider Name | Thelma Y West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477666006 PECOS PAC ID: 9436155892 Enrollment ID: I20061009000292 |
| Provider Name | Alexander T Samul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619078987 PECOS PAC ID: 2264432103 Enrollment ID: I20061228000108 |
| Provider Name | Michelle L Consavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841416328 PECOS PAC ID: 2961596960 Enrollment ID: I20070921000252 |
| Provider Name | Jason Marocco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063521003 PECOS PAC ID: 2961573175 Enrollment ID: I20080616000632 |
| Provider Name | Hope M Albers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659382125 PECOS PAC ID: 9931259736 Enrollment ID: I20090617000434 |
| Provider Name | Mary C Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295968899 PECOS PAC ID: 3072659390 Enrollment ID: I20090930000082 |
| Provider Name | Melissa Ann Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992987002 PECOS PAC ID: 9830235290 Enrollment ID: I20091015000346 |
| Provider Name | Cheri A Jessup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184643777 PECOS PAC ID: 0345387916 Enrollment ID: I20091030000354 |
| Provider Name | Andrea Marie Zinzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942312483 PECOS PAC ID: 0648454702 Enrollment ID: I20110414000096 |
| Provider Name | Cortney L Paddock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740425966 PECOS PAC ID: 6709056344 Enrollment ID: I20110908002237 |
| Provider Name | Ann Marie Daniels Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447261821 PECOS PAC ID: 6002060563 Enrollment ID: I20130208000274 |
| Provider Name | Shannon E Mckeever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629370101 PECOS PAC ID: 6103061007 Enrollment ID: I20130325000546 |
| Provider Name | Alexis F Hadwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518278381 PECOS PAC ID: 9032344320 Enrollment ID: I20131022000931 |
| Provider Name | Jessica A Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487928560 PECOS PAC ID: 6305168972 Enrollment ID: I20141210000539 |
| Provider Name | Jordyn Elizabeth Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245660430 PECOS PAC ID: 7214259639 Enrollment ID: I20141212002223 |
| Provider Name | Nancy J Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689772444 PECOS PAC ID: 2264746130 Enrollment ID: I20150805008894 |
| Provider Name | Carolyn L Pringle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912308495 PECOS PAC ID: 5496029308 Enrollment ID: I20170915001751 |
| Provider Name | Amy C Oxie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043729742 PECOS PAC ID: 9537435870 Enrollment ID: I20171101000137 |
| Provider Name | Brian S Fanion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013223775 PECOS PAC ID: 3971857335 Enrollment ID: I20181121001800 |
| Provider Name | Alexandra E Gabridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073002424 PECOS PAC ID: 1153666219 Enrollment ID: I20181218000437 |
| Provider Name | Jeannie Jenuwine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851672646 PECOS PAC ID: 5395074900 Enrollment ID: I20190906002610 |
| Provider Name | Jon C Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265591499 PECOS PAC ID: 2769814276 Enrollment ID: I20191120003050 |
| Provider Name | Joseph T Windhorst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851764351 PECOS PAC ID: 9133551575 Enrollment ID: I20191122002276 |
| Provider Name | Timothy L Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730635731 PECOS PAC ID: 3779907753 Enrollment ID: I20200622001808 |
| Provider Name | Katherine L Jurn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134551021 PECOS PAC ID: 1658793872 Enrollment ID: I20200729000444 |
| Provider Name | Paula L Fine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932572476 PECOS PAC ID: 6709202286 Enrollment ID: I20200805001781 |
| Provider Name | Michael C Wesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821422627 PECOS PAC ID: 5395153514 Enrollment ID: I20210427003051 |
| Provider Name | Sarah A Kruczynski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629631510 PECOS PAC ID: 6103234331 Enrollment ID: I20210427003128 |
| Provider Name | Sara E Storm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366956765 PECOS PAC ID: 9830596816 Enrollment ID: I20210917000123 |
| Provider Name | Mary C Joye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295491231 PECOS PAC ID: 4981094497 Enrollment ID: I20211123002832 |
| Provider Name | Sandra S Kammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265548515 PECOS PAC ID: 9234043654 Enrollment ID: I20211201001550 |
| Provider Name | Kevin P Bautel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598428856 PECOS PAC ID: 1759771389 Enrollment ID: I20211214000865 |
| Provider Name | Linda J Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043220908 PECOS PAC ID: 8820489362 Enrollment ID: I20211217000262 |
| Provider Name | Jorden E Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982128286 PECOS PAC ID: 9133510415 Enrollment ID: I20211221000817 |
| Provider Name | Kristen M Azzinaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013671056 PECOS PAC ID: 2567853849 Enrollment ID: I20211221000990 |
| Provider Name | Katrina J Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952701914 PECOS PAC ID: 0547651705 Enrollment ID: I20211222001482 |
| Provider Name | Glikeria N Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427464882 PECOS PAC ID: 5799176574 Enrollment ID: I20220105002296 |
| Provider Name | Gabriela E Rowinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861826513 PECOS PAC ID: 0941613673 Enrollment ID: I20220107000187 |
| Provider Name | Brooksley Brown Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790208445 PECOS PAC ID: 7416357975 Enrollment ID: I20220308001392 |
| Provider Name | Nathanael W Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093344681 PECOS PAC ID: 1254713886 Enrollment ID: I20220729000473 |
| Provider Name | Carla J Schott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265175582 PECOS PAC ID: 7618359175 Enrollment ID: I20220729001887 |
| Provider Name | David J Hogston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760805196 PECOS PAC ID: 8325423452 Enrollment ID: I20220909002583 |
| Provider Name | Alicia Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326772914 PECOS PAC ID: 4587049622 Enrollment ID: I20220909002735 |
| Provider Name | Holly E Langmesser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912562844 PECOS PAC ID: 1658757257 Enrollment ID: I20221005002378 |
| Provider Name | Danielle Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720695240 PECOS PAC ID: 2961873567 Enrollment ID: I20230118001849 |
| Provider Name | Cindy Sherwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073527214 PECOS PAC ID: 4688662224 Enrollment ID: I20230123001372 |
| Provider Name | Camilla Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770184202 PECOS PAC ID: 4880069897 Enrollment ID: I20230405000585 |
| Provider Name | Dorothy Lmsw Molnar-macauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861655102 PECOS PAC ID: 2365817384 Enrollment ID: I20230405000875 |
| Provider Name | Alana M Gottler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073961025 PECOS PAC ID: 6709251721 Enrollment ID: I20230405001024 |
| Provider Name | Ryan E Gladfelter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205189339 PECOS PAC ID: 1951776574 Enrollment ID: I20230413001671 |
| Provider Name | Anthony Theel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003225079 PECOS PAC ID: 6901261221 Enrollment ID: I20230420000773 |
| Provider Name | Leslie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992714539 PECOS PAC ID: 7315302528 Enrollment ID: I20230421002437 |
| Provider Name | Suzzanne Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144890179 PECOS PAC ID: 5991160210 Enrollment ID: I20230424000748 |
| Provider Name | Jennifer M Polio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891150850 PECOS PAC ID: 5890150627 Enrollment ID: I20230501002793 |
| Provider Name | Erin Attard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952011884 PECOS PAC ID: 8729444138 Enrollment ID: I20230509002325 |
| Provider Name | Shannon Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275296311 PECOS PAC ID: 1658761663 Enrollment ID: I20230617000085 |
| Provider Name | Jennifer M Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215585724 PECOS PAC ID: 0446619555 Enrollment ID: I20230707002406 |
| Provider Name | Danielle Klank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588150767 PECOS PAC ID: 7517326531 Enrollment ID: I20230707002837 |
| Provider Name | Callie Gunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003483215 PECOS PAC ID: 0042666554 Enrollment ID: I20231019001322 |
| Provider Name | Lauren Fanion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790373 PECOS PAC ID: 3173970779 Enrollment ID: I20231102003818 |
| Provider Name | Annmarie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942607601 PECOS PAC ID: 2062869456 Enrollment ID: I20231107000606 |
| Provider Name | Merindar Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912195991 PECOS PAC ID: 4284087099 Enrollment ID: I20240129001934 |
| Provider Name | Janice Charzynski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295748978 PECOS PAC ID: 1658724141 Enrollment ID: I20240131004257 |
| Provider Name | Kristine Wargo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932209996 PECOS PAC ID: 5890132666 Enrollment ID: I20240328002348 |
| Provider Name | Madeline Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700403870 PECOS PAC ID: 1658710512 Enrollment ID: I20240411004610 |
| Provider Name | Beth A Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104262427 PECOS PAC ID: 8224571054 Enrollment ID: I20240620002591 |
| Provider Name | Jennifer Vogtmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437759065 PECOS PAC ID: 0042754673 Enrollment ID: I20240706000448 |
| Provider Name | Haylee Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568022390 PECOS PAC ID: 3870034754 Enrollment ID: I20240918003874 |
| Provider Name | Shannon Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376052845 PECOS PAC ID: 8022540210 Enrollment ID: I20241012000321 |
| Provider Name | Kelly Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346767506 PECOS PAC ID: 7719428994 Enrollment ID: I20241213000756 |
| Provider Name | Tanesha A Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699370627 PECOS PAC ID: 8527596006 Enrollment ID: I20250111000345 |
| Provider Name | Madison Ottjepka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770126955 PECOS PAC ID: 8022546530 Enrollment ID: I20250113000425 |
| Provider Name | Krystle Preston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811404270 PECOS PAC ID: 6608304852 Enrollment ID: I20250115002631 |
| Provider Name | Sarah Hammel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316589112 PECOS PAC ID: 9133640469 Enrollment ID: I20250304000487 |
| Provider Name | Maria Mulligan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851967814 PECOS PAC ID: 5991227035 Enrollment ID: I20250319000552 |
| Provider Name | Julia Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275296956 PECOS PAC ID: 5597287201 Enrollment ID: I20250321001752 |
| Provider Name | Krystal Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457849580 PECOS PAC ID: 5193242352 Enrollment ID: I20250510000128 |
| Provider Name | Natalie Richard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366961187 PECOS PAC ID: 3173040334 Enrollment ID: I20250510000160 |
| Provider Name | Megan P Gill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134546849 PECOS PAC ID: 9436676699 Enrollment ID: I20250510000172 |
Anchor Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1423 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-990-8720 | |
Dr. M. Rousseau, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Holland Ave, Port Huron, MI 48060 Phone: 810-434-6280 | |
St. Clair County Sheriff Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1170 Michigan Rd, Port Huron, MI 48060 Phone: 810-966-1625 Fax: 810-966-4306 | |
St Clair County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2415 24th St, Port Huron, MI 48060 Phone: 810-488-8840 Fax: 810-966-3393 | |
St Clair County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Tammy Sue Wilson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 Lapeer Rd Ste A, Port Huron, MI 48060 Phone: 810-637-1183 Fax: 810-637-1183 | |
Aiello Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Jenks St, Port Huron, MI 48060 Phone: 810-334-8895 |