| Huron Behavioral Health | |
|
1375 R Dale Wertz Dr Bad Axe MI 48413-1365 | |
| (989) 269-9293 | |
| (989) 269-7544 |
| Full Name | Huron Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1375 R Dale Wertz Dr, Bad Axe, Michigan |
| Authorized Official Name and Position | Jeanette Johnson (REIMBURSEMENT COORDINATOR) |
| Authorized Official Contact | 9892691129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huron Behavioral Health 1375 R Dale Wertz Dr Bad Axe MI 48413-1365 Ph: (989) 269-9293 | Huron Behavioral Health 1375 R Dale Wertz Dr Bad Axe MI 48413-1365 Ph: (989) 269-9293 |
| NPI Number | 1659485514 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Medicare PECOS PAC ID | 9739161373 |
|---|---|
| Medicare Enrollment ID | O20040607000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659485514 | NPI | - | NPPES |
| 7509109570 | Other | MI | BCBS |
| 774352852 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yolanda Cullen Edler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023125622 PECOS PAC ID: 5698786556 Enrollment ID: I20060508000387 |
| Provider Name | Tracey S Dore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225277569 PECOS PAC ID: 2567510480 Enrollment ID: I20090504000404 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366481905 PECOS PAC ID: 4981600160 Enrollment ID: I20091208000340 |
| Provider Name | Kristin N Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184714917 PECOS PAC ID: 9830132166 Enrollment ID: I20140910001447 |
| Provider Name | Natalie K Nugent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124379433 PECOS PAC ID: 6800017104 Enrollment ID: I20141030002214 |
| Provider Name | Jason A Meints |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396155545 PECOS PAC ID: 7810279015 Enrollment ID: I20170124001180 |
| Provider Name | Rochelle Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404221 PECOS PAC ID: 9739410168 Enrollment ID: I20191015003646 |
| Provider Name | Jaclyn Danielle Callender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376102723 PECOS PAC ID: 2961809587 Enrollment ID: I20210924001118 |
| Provider Name | Dara Josiah-howze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407278 PECOS PAC ID: 3577597699 Enrollment ID: I20230425002178 |
| Provider Name | Karen Link |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437228533 PECOS PAC ID: 7911359138 Enrollment ID: I20240123003013 |
| Provider Name | Trina Fairman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659775807 PECOS PAC ID: 6608229778 Enrollment ID: I20240125002130 |
| Provider Name | Joann Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417074816 PECOS PAC ID: 8628421674 Enrollment ID: I20240126000706 |
List Psychological Services, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Huron Ave, Bad Axe, MI 48413 Phone: 989-672-6160 Fax: 989-672-5649 | |
Integrated Wellness Therapies Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 S Van Dyke Rd Ste A, Bad Axe, MI 48413 Phone: 989-912-0258 | |
Caring For Others, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1163 N Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-551-3200 Fax: 989-551-3200 | |
Future Focused Therapies Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 E Huron Ave, Bad Axe, MI 48413 Phone: 810-214-2641 | |
Professional Counseling Service, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 128 W Huron Ave Ste C, Bad Axe, MI 48413 Phone: 989-269-5180 Fax: 989-623-0398 | |
Insight Healthcare, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Heisterman St, Ste. 101, Bad Axe, MI 48413 Phone: 989-975-8039 Fax: 989-372-9864 | |
Jack Pine Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Hartshorn St, Bad Axe, MI 48413 Phone: 989-523-0002 |