| Copper Country Community Mental Health Services | |
|
901 W. Memorial Dr. Houghton MI 49931 | |
| (906) 482-9400 | |
| (906) 483-0269 |
| Full Name | Copper Country Community Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 W. Memorial Dr., Houghton, Michigan |
| Authorized Official Name and Position | Lawrence John Pollack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9064829400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Country Community Mental Health Services 901 W. Memorial Dr. Houghton MI 49931 Ph: (906) 482-9400 | Copper Country Community Mental Health Services 901 W. Memorial Dr. Houghton MI 49931 Ph: (906) 482-9400 |
| NPI Number | 1881607497 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 06/18/2010 |
| Medicare PECOS PAC ID | 8426119256 |
|---|---|
| Medicare Enrollment ID | O20081211000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881607497 | NPI | - | NPPES |
| 21 1707962 | Medicaid | MI | |
| 750910617 | Other | MI | BLUE CROSS |
| 750910600 | Other | MI | BLUE CROSS |
| 750910601 | Other | MI | BLUE CROSS |
| 750910603 | Other | MI | BLUE CROSS |
| Provider Name | Daniel R Lawton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588689939 PECOS PAC ID: 4284727207 Enrollment ID: I20070907000340 |
| Provider Name | Kim K Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083627392 PECOS PAC ID: 3274694021 Enrollment ID: I20081211000451 |
| Provider Name | Lynn E Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659354298 PECOS PAC ID: 7911194857 Enrollment ID: I20101206000043 |
| Provider Name | Michelle L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215162722 PECOS PAC ID: 7416135983 Enrollment ID: I20110705000244 |
| Provider Name | Kristin D Mcarthur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720213556 PECOS PAC ID: 5991939662 Enrollment ID: I20131011000941 |
| Provider Name | Beki L Asti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013240886 PECOS PAC ID: 6901946474 Enrollment ID: I20131011001706 |
| Provider Name | Crystal Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790999068 PECOS PAC ID: 7618198292 Enrollment ID: I20141023001821 |
| Provider Name | Michael A Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487029690 PECOS PAC ID: 0244502201 Enrollment ID: I20170825001358 |
| Provider Name | Gary M Rooker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679630107 PECOS PAC ID: 6103921267 Enrollment ID: I20180502001333 |
| Provider Name | Etta A. Lindenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386605343 PECOS PAC ID: 3072547785 Enrollment ID: I20190104001758 |
| Provider Name | Scott P Van Sant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295747731 PECOS PAC ID: 2961426879 Enrollment ID: I20190506001361 |
| Provider Name | Natalie Sadik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609262948 PECOS PAC ID: 5193027951 Enrollment ID: I20190713000042 |
| Provider Name | Gurkanwal Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184665 PECOS PAC ID: 3274842000 Enrollment ID: I20190805000321 |
| Provider Name | Regina R Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720288095 PECOS PAC ID: 1850448804 Enrollment ID: I20191206002445 |
| Provider Name | Mohsen Amiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790704831 PECOS PAC ID: 8921132572 Enrollment ID: I20200622002521 |
| Provider Name | Chidinma E Isinguzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558640094 PECOS PAC ID: 6406157007 Enrollment ID: I20210304001517 |
| Provider Name | Jason Eric Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932581055 PECOS PAC ID: 7416267547 Enrollment ID: I20210422000810 |
| Provider Name | Sasi K Nayudu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942284468 PECOS PAC ID: 3870531767 Enrollment ID: I20220422001190 |
| Provider Name | Nicole Elizabeth Ubinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003423161 PECOS PAC ID: 9931577798 Enrollment ID: I20221129000666 |
| Provider Name | Nicholas Austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831455211 PECOS PAC ID: 6800199183 Enrollment ID: I20230925000953 |
| Provider Name | Edwin Thullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598288870 PECOS PAC ID: 9830431261 Enrollment ID: I20231219001202 |
| Provider Name | Jeffrey Madigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942398086 PECOS PAC ID: 1658322862 Enrollment ID: I20240124003232 |
| Provider Name | William Ralph Box |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750466272 PECOS PAC ID: 7214371681 Enrollment ID: I20240214001439 |
Keweenaw Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Razorback Dr Ste 5, Houghton, MI 49931 Phone: 906-291-0190 | |
Public Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 Phone: 906-523-7172 | |
Unite Mental Health And Wellness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1014 College Ave, Houghton, MI 49931 Phone: 906-523-7064 | |
Copper Country Community Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Mem Dr, Houghton, MI 49931 Phone: 906-482-9400 Fax: 906-483-0269 | |
Copper Country Community Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Mem Dr, Houghton, MI 49931 Phone: 906-482-9400 Fax: 906-483-0269 | |
All Points Creative Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Razorback Dr, Suite 5, Houghton, MI 49931 Phone: 906-250-0895 | |
Catholic Charities Of The Upper Peninsula Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Shelden Ave, Suite 211, Houghton, MI 49931 Phone: 906-482-1624 Fax: 906-482-8301 |