BLUE WATER COUNSELING
NPI 1174924864
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Gratiot, MI

NPI Status: Active since September 12, 2014

Contact Information

1501 KRAFFT RD
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 985-5125
Fax: (810) 985-5127

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About BLUE WATER COUNSELING

This page provides the complete NPI Profile along with additional information for Blue Water Counseling, a provider established in Fort Gratiot, Michigan operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1174924864 assigned on September 2014. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Blue Water Counseling operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Blue Water Counseling. The authorized official of this NPI record is Linda A Liethen (Executive Director)

NPI
1174924864
Provider Legal Name
BLUE WATER MENTAL HEALTH CLINIC
Other Organization Name
BLUE WATER COUNSELING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1501 KRAFFT RD FORT GRATIOT, MI 48059
Location Phone
(810) 985-5125
Location Fax
(810) 985-5127
Mailing Address
1501 KRAFFT RD FORT GRATIOT, MI 48059
Mailing Phone
(810) 985-5125
Mailing Fax
(810) 985-5127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2014
Last Update Date
09-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA A LIETHEN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(810) 985-5125

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0G46345MEDICARE PIN (08) 
0P59490MEDICARE PIN (08) 
0G46321MEDICARE PIN (08) 

Reviews for BLUE WATER COUNSELING

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174924864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441828812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 2 + 8 + 8 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1174924864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609820737DR. MARIO ROBERTO LANNI M.D.
Individual
Psychiatry & Neurology (Psychiatry)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1578590576 SUSAN ARTH LMFT
Individual
Marriage & Family Therapist1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1871526277 ELIZABETH A VARTY LPC
Individual
Counselor (Professional)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1982638805 LEELA CHERIAN PHD, LLP
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1871527796 SHARON JOACHIM MSW
Individual
Social Worker (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1588698401 SANDRA OSWELL MSW
Individual
Social Worker (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1356367049 MICHAEL J. DUFFY JR. ED.D., L.L.P.
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1639185861MS. LYNN M SCHROEDER LLP
Individual
Psychologist (Counseling)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1376559435 DEBORAH SCHMIDT SOCIAL WORKER
Individual
Social Worker1501 KRAFFT RD
FORT GRATIOT, MI 48059
(800) 292-1288
1912010315MS. KAREN WIATER
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1184718983MS. EMILY BETH TRAHAN M.A., LLPC
Individual
Counselor (Professional)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(800) 292-1288
1922130756 KIMBERLY L WARNER LPC
Individual
Counselor (Professional)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1588846604 LAWRENCE JOSEPH ZIMMER MD
Individual
Psychiatry & Neurology (Psychiatry)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1588810626 KRISTY A HARMON MSW
Individual
Social Worker (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1871740662 LADORA M WILLIAMS RN, LMFT
Individual
Marriage & Family Therapist1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1073742797DR. DEVIN R SOUTH PSYD, LP
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1962819011MRS. SARA MCHUGH MSW
Individual
Social Worker (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1245263474 AMY FABICK MSW
Individual
Social Worker (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1568488252MS. JENNIFER HORBES LLP
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125
1346264322 LINDA A LIETHEN LLP
Individual
Psychologist (Clinical)1501 KRAFFT RD
FORT GRATIOT, MI 48059
(810) 985-5125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174924864, enumerated in the NPI registry as an "organization" on September 12, 2014

The provider is located at 1501 Krafft Rd Fort Gratiot, Mi 48059 and the phone number is (810) 985-5125

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 12, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.