Provider Demographics
NPI: | 1720268352 |
---|---|
Name: | CONSUMER SERVICES INC. |
Entity type: | Organization |
Organization Name: | CONSUMER SERVICES INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | BILLING DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | ANNE |
Authorized Official - Last Name: | GRIESE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 517-833-8100 |
Mailing Address - Street 1: | 525 OKEMOS ST |
Mailing Address - Street 2: | |
Mailing Address - City: | MASON |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48854-1224 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 517-833-8100 |
Mailing Address - Fax: | 517-676-5207 |
Practice Address - Street 1: | 525 OKEMOS ST |
Practice Address - Street 2: | |
Practice Address - City: | MASON |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48854-1224 |
Practice Address - Country: | US |
Practice Address - Phone: | 517-833-8100 |
Practice Address - Fax: | 517-676-5207 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CONSUMER SERVICES INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2007-11-12 |
Last Update Date: | 2025-07-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
No | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Adult | Group - Multi-Specialty |
No | 364SP0810X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Family | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MI | OP25670 | Medicare PIN |