MEDICARE: COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265483457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES

Provider Business Mailing Address
First Line	:	812 E JOLLY ROAD
Second Line	:	SUITE 210
City	:	LANSING
State	:	MI
Zip	:	48910-6821
Country	:	US
Telephone Number	:	517-346-8119
Fax Number	:	517-346-8291

Provider Business Practice Location Address
First Line	:	812 E JOLLY ROAD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-6821
Country	:	US
Telephone Number	:	517-346-8200
Fax Number	:	517-346-8291

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SARA LURIE
Credential	:
Telephone Number	:	517-346-8212

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	03/12/2026

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1477826667 — COLLEEN FRANCES SCHMITT LCSW
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1962958769 — MS. HEATHER BRAINERD LLPC
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1174053383 — JENNIFER GARZA LLPC
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Directions to “COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES ” Practice Location

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