MEDICARE: CHENA COSS I

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	6851122118	MI

General Provider Information

NPI Number	:	1649644717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENA COSS I

Provider Business Mailing Address
First Line	:	18135 SHAMROCK BLVD
Second Line	:
City	:	BIG RAPIDS
State	:	MI
Zip	:	49307-9726
Country	:	US
Telephone Number	:	231-679-0451
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S CRAPO ST
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-2941
Country	:	US
Telephone Number	:	231-796-5825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2015
Last Update Date	:	06/18/2026

Similar Medicare Providers

1407832546 — DR. DENISE KAY WISWELL PH.D.
Practice Location Address:

301 S CRAPO ST
MT PLEASANT, MI
48858-2941

Practice Phone: 989-772-5938
Practice Fax:

1881622892 — COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN
Practice Location Address:

301 S CRAPO ST , SUITE 100
MT PLEASANT, MI
48858-2941

Practice Phone: 989-773-6961
Practice Fax: 989-773-1968

1932298239 — MRS. LISA CAROL ZMICH-CULLEN LMSW
Practice Location Address:

301 S CRAPO ST STE 200
MT PLEASANT, MI
48858-2941

Practice Phone: 989-772-5938
Practice Fax:

1447349725 — MARILYN JEAN THORNTON MSW, LMSW
Practice Location Address:

301 S CRAPO ST , SUITE 200
MT PLEASANT, MI
48858-2941

Practice Phone: 989-772-5930
Practice Fax: 989-775-7701

1588754311 — MS. KAREN LEE BLOUNT LMSW, LPC
Practice Location Address:

301 S CRAPO ST STE 300
MT PLEASANT, MI
48858-2941

Practice Phone: 989-772-5938
Practice Fax:

1932299773 — MS. VICKI L VANCONANT LMSW
Practice Location Address:

301 S CRAPO ST , SUITE 200
MT PLEASANT, MI
48858-2941

Practice Phone: 989-772-5938
Practice Fax:

Directions to “ CHENA COSS I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.