COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
NPI 1306164017
Community/Behavioral Health in Houghton, MI

NPI Status: Active since May 06, 2010

Contact Information

901 W MEM DR
HOUGHTON, MI
ZIP 49931
Phone: (906) 482-9400
Fax: (906) 483-0269

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  • Organization
  • Community/Behavioral Health

About COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Copper Country Community Mental Health Services, a provider established in Houghton, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1306164017 assigned on May 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Lawrence J Pollack Phd. (Executive Director)

NPI
1306164017
Provider Name
COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
901 W MEM DR HOUGHTON, MI 49931
Location Phone
(906) 482-9400
Location Fax
(906) 483-0269
Mailing Address
901 W MEM DR HOUGHTON, MI 49931
Mailing Phone
(906) 482-9400
Mailing Fax
(906) 483-0269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2010
Last Update Date
05-06-2010
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License State
MI
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

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

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

MR. LAWRENCE J POLLACK PHD.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(906) 482-9400

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
1795702MEDICAID (05)MI 
0C16000MEDICARE PIN (08)MI 

Reviews for COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES

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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.
1306164017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
230626802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 2 + 6 + 8 + 0 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1306164017 is valid because the calculated check digit 7 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
1851551022 MARY SUZANNE HECKEL L.L.M.S.W.
Individual
Social Worker (Clinical)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1760648828MR. RONALD WILBERT RIUTTA
Individual
Social Worker901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1689810939MRS. KATHERINE RAE HELPPI R.N.
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1386888014MR. DAVID FORREST COLE MSW
Individual
Social Worker (Clinical)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9404
1669796983DR. KAMBIZ ALAVI PHD.
Individual
Psychologist (Clinical)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1164743696 KATHERINE NORDENG-HOEL R.N.
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1447571971MS. PAMELA BEAL MA
Individual
Psychologist901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1164730107MRS. PAULA ANN HULS R.N.
Individual
Registered Nurse (Psychiatric/Mental Health)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1386918480MR. WILLIAM WERTENBERGER MS/OTR
Individual
Occupational Therapist901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1225391584COPPER COUNTRY COMMUNITY MENTAL HEALTH SERVICES
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1881036960 CARRIE ANN THOMPSON RN
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1487096590MS. DONNA ANN ENGMAN RN
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1023450350 JONATHAN PACKHAM OTR/L
Individual
Occupational Therapist901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1063847408 GARY V MARQUARDT LLMSW
Individual
Social Worker (Clinical)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9404
1871918920 KARYN CARR RN
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 483-5567
1093264467 MICHAEL SHERIDAN
Individual
Social Worker901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400
1528519865COPPER COUNTRY MENTAL HEALTH
Organization
Nursing Care901 W MEM DR
HOUGHTON, MI 49931
(906) 487-7721
1700320058 PENNY GNADINGER RN
Individual
Registered Nurse901 W MEM DR
HOUGHTON, MI 49931
(906) 487-7721
1164944633 O'DONIS J PERSON
Individual
Registered Nurse (Psychiatric/Mental Health)901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9404
1194244434 AMY LYNN PERFETTI LLBSW QIDP QMHP
Individual
Social Worker901 W MEM DR
HOUGHTON, MI 49931
(906) 482-9400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306164017, enumerated in the NPI registry as an "organization" on May 06, 2010

The provider is located at 901 W Mem Dr Houghton, Mi 49931 and the phone number is (906) 482-9400

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 May 06, 2010. 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.