Children's Waiver Services - Medicare Mental Health Clinic in Port Huron, MI

Children's Waiver Services is a medicare enrolled mental health clinic (Community/behavioral Health) in Port Huron, Michigan. The current practice location for Children's Waiver Services is 3111 Electric Ave, Port Huron, Michigan. For appointments, you can reach them via phone at (810) 985-8900. The mailing address for Children's Waiver Services is 3111 Electric Avenue, Port Huron, Michigan and phone number is (810) 985-8900.

Children's Waiver Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1689783672. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 985-8900.

Contact Information

Children's Waiver Services
3111 Electric Ave
Port Huron
MI 48060-8127
(810) 985-8900
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameChildren's Waiver Services
SpecialityCommunity/Behavioral Health
Location3111 Electric Ave, Port Huron, Michigan
Authorized Official Name and PositionDebra B. Johnson (EXECUTIVE DIRECTOR)
Authorized Official Contact8109858900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Children's Waiver Services
3111 Electric Avenue
Port Huron
MI 48060-8127

Ph: (810) 985-8900
Children's Waiver Services
3111 Electric Ave
Port Huron
MI 48060-8127

Ph: (810) 985-8900

NPI Details:

NPI Number1689783672
Provider Enumeration Date08/30/2006
Last Update Date08/07/2023
Certification Date08/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7416861984
Medicare Enrollment IDO20031118000783

Medical Identifiers

Medical identifiers for Children's Waiver Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689783672NPI-NPPES
4349015MedicaidMI
1708164MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Children's Waiver Services acts as a billing entity for following providers:
Provider NameAndrea L Velez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225118318
PECOS PAC ID: 5597758946
Enrollment ID: I20040403000144
Provider NameAnn M Wrubel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841307204
PECOS PAC ID: 2062459332
Enrollment ID: I20050408000732
Provider NameBradley J Mcdonald
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720195829
PECOS PAC ID: 6901802354
Enrollment ID: I20061009000264
Provider NameThelma Y West
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477666006
PECOS PAC ID: 9436155892
Enrollment ID: I20061009000292
Provider NameAlexander T Samul
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619078987
PECOS PAC ID: 2264432103
Enrollment ID: I20061228000108
Provider NameHope M Albers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659382125
PECOS PAC ID: 9931259736
Enrollment ID: I20090617000434
Provider NameMary C Daniel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295968899
PECOS PAC ID: 3072659390
Enrollment ID: I20090930000082
Provider NameMelissa Ann Hunt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992987002
PECOS PAC ID: 9830235290
Enrollment ID: I20091015000346
Provider NameCheri A Jessup
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184643777
PECOS PAC ID: 0345387916
Enrollment ID: I20091030000354
Provider NameDeborah L Kokoszka
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023320413
PECOS PAC ID: 6800089186
Enrollment ID: I20101019000842
Provider NameAndrea Marie Zinzo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942312483
PECOS PAC ID: 0648454702
Enrollment ID: I20110414000096
Provider NameCortney L Paddock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740425966
PECOS PAC ID: 6709056344
Enrollment ID: I20110908002237
Provider NameAnn Marie Daniels Hillman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447261821
PECOS PAC ID: 6002060563
Enrollment ID: I20130208000274
Provider NameShannon E Mckeever
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629370101
PECOS PAC ID: 6103061007
Enrollment ID: I20130325000546
Provider NameAlexis F Hadwin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518278381
PECOS PAC ID: 9032344320
Enrollment ID: I20131022000931
Provider NameJessica A Schroeder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487928560
PECOS PAC ID: 6305168972
Enrollment ID: I20141210000539
Provider NameJordyn Elizabeth Mccormick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245660430
PECOS PAC ID: 7214259639
Enrollment ID: I20141212002223
Provider NameNancy J Maxwell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689772444
PECOS PAC ID: 2264746130
Enrollment ID: I20150805008894
Provider NameCarolyn L Pringle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912308495
PECOS PAC ID: 5496029308
Enrollment ID: I20170915001751
Provider NameAmy C Oxie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043729742
PECOS PAC ID: 9537435870
Enrollment ID: I20171101000137
Provider NameBrian S Fanion
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013223775
PECOS PAC ID: 3971857335
Enrollment ID: I20181121001800
Provider NameAlexandra E Gabridge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073002424
PECOS PAC ID: 1153666219
Enrollment ID: I20181218000437
Provider NameJeannie Jenuwine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851672646
PECOS PAC ID: 5395074900
Enrollment ID: I20190906002610
Provider NameJon C Johnston
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265591499
PECOS PAC ID: 2769814276
Enrollment ID: I20191120003050
Provider NameJoseph T Windhorst
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851764351
PECOS PAC ID: 9133551575
Enrollment ID: I20191122002276
Provider NameTimothy L Weaver
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730635731
PECOS PAC ID: 3779907753
Enrollment ID: I20200622001808
Provider NameKatherine L Jurn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134551021
PECOS PAC ID: 1658793872
Enrollment ID: I20200729000444
Provider NamePaula L Fine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932572476
PECOS PAC ID: 6709202286
Enrollment ID: I20200805001781
Provider NameMichael C Wesch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821422627
PECOS PAC ID: 5395153514
Enrollment ID: I20210427003051
Provider NameSarah A Kruczynski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629631510
PECOS PAC ID: 6103234331
Enrollment ID: I20210427003128
Provider NameNicolette M Mcgahey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821553280
PECOS PAC ID: 7315343597
Enrollment ID: I20210914001360
Provider NameSara E Storm
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366956765
PECOS PAC ID: 9830596816
Enrollment ID: I20210917000123
Provider NameMary C Joye
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295491231
PECOS PAC ID: 4981094497
Enrollment ID: I20211123002832
Provider NameSandra S Kammer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265548515
PECOS PAC ID: 9234043654
Enrollment ID: I20211201001550
Provider NameKevin P Bautel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598428856
PECOS PAC ID: 1759771389
Enrollment ID: I20211214000865
Provider NameLinda J Butler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043220908
PECOS PAC ID: 8820489362
Enrollment ID: I20211217000262
Provider NameJorden E Reid
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982128286
PECOS PAC ID: 9133510415
Enrollment ID: I20211221000817
Provider NameKristen M Azzinaro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013671056
PECOS PAC ID: 2567853849
Enrollment ID: I20211221000990
Provider NameRebecca M Markel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760817738
PECOS PAC ID: 0941691257
Enrollment ID: I20211221001884
Provider NameKatrina J Parker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952701914
PECOS PAC ID: 0547651705
Enrollment ID: I20211222001482
Provider NameGlikeria N Hastings
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427464882
PECOS PAC ID: 5799176574
Enrollment ID: I20220105002296
Provider NameGabriela E Rowinsky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861826513
PECOS PAC ID: 0941613673
Enrollment ID: I20220107000187
Provider NameBrooksley Brown Foster
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790208445
PECOS PAC ID: 7416357975
Enrollment ID: I20220308001392
Provider NameNathanael W Russell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093344681
PECOS PAC ID: 1254713886
Enrollment ID: I20220729000473
Provider NameCarla J Schott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265175582
PECOS PAC ID: 7618359175
Enrollment ID: I20220729001887
Provider NameDavid J Hogston
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760805196
PECOS PAC ID: 8325423452
Enrollment ID: I20220909002583
Provider NameBrittany C Brothers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336618800
PECOS PAC ID: 4587049614
Enrollment ID: I20220909002667
Provider NameAlicia Burns
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326772914
PECOS PAC ID: 4587049622
Enrollment ID: I20220909002735
Provider NameHolly E Langmesser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912562844
PECOS PAC ID: 1658757257
Enrollment ID: I20221005002378
Provider NameJadean I Lavery
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801490602
PECOS PAC ID: 8527439124
Enrollment ID: I20230118001704
Provider NameDanielle Mitchell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720695240
PECOS PAC ID: 2961873567
Enrollment ID: I20230118001849
Provider NameCindy Sherwood
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073527214
PECOS PAC ID: 4688662224
Enrollment ID: I20230123001372
Provider NameCamilla Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770184202
PECOS PAC ID: 4880069897
Enrollment ID: I20230405000585
Provider NameDorothy Lmsw Molnar-macauley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861655102
PECOS PAC ID: 2365817384
Enrollment ID: I20230405000875
Provider NameAlana M Gottler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073961025
PECOS PAC ID: 6709251721
Enrollment ID: I20230405001024
Provider NameRyan E Gladfelter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205189339
PECOS PAC ID: 1951776574
Enrollment ID: I20230413001671
Provider NameAnthony Theel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003225079
PECOS PAC ID: 6901261221
Enrollment ID: I20230420000773
Provider NameLeslie Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992714539
PECOS PAC ID: 7315302528
Enrollment ID: I20230421002437
Provider NameSuzzanne Sexton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144890179
PECOS PAC ID: 5991160210
Enrollment ID: I20230424000748
Provider NameJennifer M Polio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891150850
PECOS PAC ID: 5890150627
Enrollment ID: I20230501002793
Provider NameErin Attard
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952011884
PECOS PAC ID: 8729444138
Enrollment ID: I20230509002325
Provider NameShannon Kelly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275296311
PECOS PAC ID: 1658761663
Enrollment ID: I20230617000085
Provider NameJennifer M Ritchie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215585724
PECOS PAC ID: 0446619555
Enrollment ID: I20230707002406
Provider NameDanielle Klank
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588150767
PECOS PAC ID: 7517326531
Enrollment ID: I20230707002837
Provider NameCallie Gunn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003483215
PECOS PAC ID: 0042666554
Enrollment ID: I20231019001322
Provider NameLauren Fanion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538790373
PECOS PAC ID: 3173970779
Enrollment ID: I20231102003818
Provider NameAnnmarie Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942607601
PECOS PAC ID: 2062869456
Enrollment ID: I20231107000606
Provider NameMerindar Grant
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912195991
PECOS PAC ID: 4284087099
Enrollment ID: I20240129001934
Provider NameJanice Charzynski
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1295748978
PECOS PAC ID: 1658724141
Enrollment ID: I20240131004257
Provider NameSara Schoenberg
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609923051
PECOS PAC ID: 3476996372
Enrollment ID: I20240207003698
Provider NameKristine Wargo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1932209996
PECOS PAC ID: 5890132666
Enrollment ID: I20240328002348
Provider NameMadeline Burke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700403870
PECOS PAC ID: 1658710512
Enrollment ID: I20240411004610

Reviews and Comments

Community/Behavioral Health in Port Huron, MI

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    
Flint Odyssey House, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1431 Lapeer Ave, Port Huron, MI 48060
Phone: 810-238-7226    
Zoe Counseling And Consulting, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3003 Moak St, Port Huron, MI 48060
Phone: 810-982-8144    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.