| Community Mental Health For Central Michigan | |
|
301 S Crapo St Suite 100 Mt Pleasant MI 48858-2941 | |
| (989) 773-6961 | |
| (989) 773-1968 |
| Full Name | Community Mental Health For Central Michigan |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 S Crapo St, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Bryan Krogman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9897725930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health For Central Michigan 301 S Crapo St Suite 100 Mt Pleasant MI 48858-2941 Ph: (989) 773-6961 | Community Mental Health For Central Michigan 301 S Crapo St Suite 100 Mt Pleasant MI 48858-2941 Ph: (989) 773-6961 |
| NPI Number | 1881622892 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 4688660533 |
|---|---|
| Medicare Enrollment ID | O20040424000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881622892 | NPI | - | NPPES |
| 750910703 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 774352754 | Medicaid | MI | |
| 1009798 | Other | MI | MCLAREN HEALTH PLAN |
| 214344340 | Medicaid | MI |
| Provider Name | Matthew B Dussia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336290634 PECOS PAC ID: 8325090798 Enrollment ID: I20050214000590 |
| Provider Name | Kristy L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619918869 PECOS PAC ID: 7315981669 Enrollment ID: I20050616001078 |
| Provider Name | Chad M Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457461428 PECOS PAC ID: 8820022270 Enrollment ID: I20050924000086 |
| Provider Name | Deana M Vanbuskirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528142700 PECOS PAC ID: 4284632639 Enrollment ID: I20061117000478 |
| Provider Name | Jill L Freeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073612966 PECOS PAC ID: 9436159316 Enrollment ID: I20061226000165 |
| Provider Name | Henry C Chung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700086634 PECOS PAC ID: 4587759220 Enrollment ID: I20070926000919 |
| Provider Name | Amy M Tribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023179306 PECOS PAC ID: 6002901642 Enrollment ID: I20070927000663 |
| Provider Name | Kelley M Raab-butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649360769 PECOS PAC ID: 1254407448 Enrollment ID: I20080912000283 |
| Provider Name | Susan Sych |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174643597 PECOS PAC ID: 8628139755 Enrollment ID: I20081210000095 |
| Provider Name | Debra L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376778423 PECOS PAC ID: 0840343992 Enrollment ID: I20090806000505 |
| Provider Name | Beverly M Pourcho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619167798 PECOS PAC ID: 2961549704 Enrollment ID: I20091027000442 |
| Provider Name | Amy F Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841518453 PECOS PAC ID: 8123159225 Enrollment ID: I20100707000299 |
| Provider Name | Anne M Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245569185 PECOS PAC ID: 2062609647 Enrollment ID: I20101208000718 |
| Provider Name | Angela M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295816239 PECOS PAC ID: 8820270762 Enrollment ID: I20110314000442 |
| Provider Name | Beth A Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992894208 PECOS PAC ID: 2365628963 Enrollment ID: I20110516000900 |
| Provider Name | Sara E Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346494580 PECOS PAC ID: 6406033182 Enrollment ID: I20110606000632 |
| Provider Name | Kendra J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902980881 PECOS PAC ID: 2365619392 Enrollment ID: I20120116000121 |
| Provider Name | Lisa C Zmich-cullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932298239 PECOS PAC ID: 1850568403 Enrollment ID: I20120123000189 |
| Provider Name | Vicki L Vanconant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932299773 PECOS PAC ID: 8628237245 Enrollment ID: I20120316000379 |
| Provider Name | Kathleen R Hornacek-ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679722128 PECOS PAC ID: 5799962601 Enrollment ID: I20120328000476 |
| Provider Name | Karen M Pearson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801014261 PECOS PAC ID: 3173787934 Enrollment ID: I20120607000684 |
| Provider Name | Abbi Mankiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629301205 PECOS PAC ID: 6406010727 Enrollment ID: I20120615000438 |
| Provider Name | Elaine H Demasi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902161300 PECOS PAC ID: 0749436707 Enrollment ID: I20120807000203 |
| Provider Name | Stephanie R Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164866224 PECOS PAC ID: 8426290966 Enrollment ID: I20130812000716 |
| Provider Name | Margaret D Jamrog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265879886 PECOS PAC ID: 4385879998 Enrollment ID: I20131106000801 |
| Provider Name | Abby J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831326248 PECOS PAC ID: 4486880960 Enrollment ID: I20131112001685 |
| Provider Name | Amanda L Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386951853 PECOS PAC ID: 6204063803 Enrollment ID: I20131205000504 |
| Provider Name | Ashley R Luplow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942526744 PECOS PAC ID: 4183853203 Enrollment ID: I20140212000389 |
| 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 | Christine M Landino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760820815 PECOS PAC ID: 5890018022 Enrollment ID: I20141219001247 |
| Provider Name | Barry J Ebig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568541217 PECOS PAC ID: 5890018048 Enrollment ID: I20141219002015 |
| Provider Name | Michelle M Homa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023415320 PECOS PAC ID: 6305160441 Enrollment ID: I20150121001318 |
| Provider Name | Morgan M Meier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760882278 PECOS PAC ID: 4981997996 Enrollment ID: I20160728001885 |
| Provider Name | Kyle B Wieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316327463 PECOS PAC ID: 5395029581 Enrollment ID: I20170308000097 |
| Provider Name | Della L Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043659162 PECOS PAC ID: 4385915032 Enrollment ID: I20170731000579 |
| Provider Name | Kaytie L Ochenkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073918918 PECOS PAC ID: 5698049500 Enrollment ID: I20170915001682 |
| Provider Name | Katie L Most |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033586854 PECOS PAC ID: 4789944281 Enrollment ID: I20180201000113 |
| Provider Name | Clare C Margres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770966251 PECOS PAC ID: 7113288739 Enrollment ID: I20180227002568 |
| Provider Name | Elizza B Lejeune |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598157034 PECOS PAC ID: 3476815903 Enrollment ID: I20180322000170 |
| Provider Name | Jessika E Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225693922 PECOS PAC ID: 5395078133 Enrollment ID: I20190611000938 |
| Provider Name | Kristen P Provost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679002489 PECOS PAC ID: 2264760990 Enrollment ID: I20190820001136 |
| Provider Name | Christine A Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760017057 PECOS PAC ID: 3375972052 Enrollment ID: I20200331002955 |
| Provider Name | Amy M Jachalke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659909109 PECOS PAC ID: 8820429814 Enrollment ID: I20200506002581 |
| Provider Name | Jenna L Brackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265826069 PECOS PAC ID: 7810328200 Enrollment ID: I20200519003219 |
| Provider Name | Natasha Garchow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598219099 PECOS PAC ID: 7810396678 Enrollment ID: I20210527000359 |
| Provider Name | Ryan Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235507195 PECOS PAC ID: 9436558186 Enrollment ID: I20210528001326 |
| Provider Name | Johne L Datema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841757499 PECOS PAC ID: 3779985916 Enrollment ID: I20210712001477 |
| Provider Name | Katelyn N Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447858311 PECOS PAC ID: 5395146880 Enrollment ID: I20211026002059 |
| Provider Name | Brooke M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932521754 PECOS PAC ID: 1658760129 Enrollment ID: I20211123000915 |
| Provider Name | Jenae E Finney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548761745 PECOS PAC ID: 9638569932 Enrollment ID: I20211130002428 |
| Provider Name | Terri Lynn Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477047470 PECOS PAC ID: 1557751187 Enrollment ID: I20211214000539 |
| Provider Name | Daniel Newberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780236927 PECOS PAC ID: 5092106872 Enrollment ID: I20220105002191 |
| Provider Name | Megan Marie Lange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134577182 PECOS PAC ID: 4789077504 Enrollment ID: I20220131000960 |
| Provider Name | Elizabeth Diana Raymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801306055 PECOS PAC ID: 1658764311 Enrollment ID: I20220202001349 |
| Provider Name | Gloria Ann Hernandez-dusek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164999025 PECOS PAC ID: 3870987092 Enrollment ID: I20220303000844 |
| Provider Name | Elizabeth Ann Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376193359 PECOS PAC ID: 6901283688 Enrollment ID: I20220518002228 |
| Provider Name | Hilary Jacques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740692607 PECOS PAC ID: 6800283607 Enrollment ID: I20220719000474 |
| Provider Name | Jazmin Luellen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881191203 PECOS PAC ID: 2062895816 Enrollment ID: I20220811003277 |
| Provider Name | Christian Baeumler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518483932 PECOS PAC ID: 0547644676 Enrollment ID: I20220908001541 |
| Provider Name | Samantha Jammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770941130 PECOS PAC ID: 2860860889 Enrollment ID: I20221123001262 |
| Provider Name | Brittany Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588020291 PECOS PAC ID: 6002194867 Enrollment ID: I20230208002172 |
| Provider Name | Brandi Marie Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811321953 PECOS PAC ID: 4981078185 Enrollment ID: I20230329000727 |
| Provider Name | Pamela D Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588779532 PECOS PAC ID: 3779520606 Enrollment ID: I20230411000379 |
| Provider Name | Renee Dyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043629645 PECOS PAC ID: 6901261817 Enrollment ID: I20230428000652 |
| Provider Name | Alexandria Ryan La |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447827019 PECOS PAC ID: 0143686279 Enrollment ID: I20230516002174 |
| Provider Name | Kelley Susan Wiese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194385633 PECOS PAC ID: 1557728094 Enrollment ID: I20230527000188 |
| Provider Name | Corey William Hartwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235789223 PECOS PAC ID: 8628436862 Enrollment ID: I20230621001949 |
| Provider Name | Shelby Todd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760048821 PECOS PAC ID: 6204298060 Enrollment ID: I20230811000454 |
| Provider Name | Shavodka Nowacki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386298115 PECOS PAC ID: 3375906845 Enrollment ID: I20230929002974 |
| Provider Name | Emma Elizabeth Towers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205334042 PECOS PAC ID: 1658727896 Enrollment ID: I20231025000874 |
| Provider Name | Dawn Marie Mcmillan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659863850 PECOS PAC ID: 2961852801 Enrollment ID: I20231219001667 |
| Provider Name | James O. Seidel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932299849 PECOS PAC ID: 0345691838 Enrollment ID: I20240109003214 |
| Provider Name | Kimberly Lockwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528574290 PECOS PAC ID: 6103278320 Enrollment ID: I20240123003380 |
| Provider Name | Brittani Lynne Bertoni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801200266 PECOS PAC ID: 7810340742 Enrollment ID: I20240126004043 |
| Provider Name | Steven B Lundsted |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700059730 PECOS PAC ID: 8022461821 Enrollment ID: I20240129001464 |
| Provider Name | Erin Hildebrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487329074 PECOS PAC ID: 8123463940 Enrollment ID: I20240301002783 |
Homa Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4676 E Broomfield Rd, Mt Pleasant, MI 48858 Phone: 989-301-9729 | |
Assist & Accelerate Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Batson Dr, Mt Pleasant, MI 48858 Phone: 989-572-0090 | |
Mid-michigan Neurology Center, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4595 Jennifer Ln, Mt Pleasant, MI 48858 Phone: 989-772-0453 Fax: 989-773-2538 | |
Ten Sixteen Recovery Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E Broomfield St Ste 8, Mt Pleasant, MI 48858 Phone: 989-817-7915 | |
Central Michigan University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Health Professions Bldg, Ste 2105, Mt Pleasant, MI 48859 Phone: 989-774-3904 Fax: 989-774-1891 | |
Central Michigan Care Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 E Broadway St, Mt Pleasant, MI 48858 Phone: 989-854-8334 | |
Counseling Connections Of Central Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 E Michigan St, Mt Pleasant, MI 48858 Phone: 989-772-5833 |