COLONIAL WOODS CHRISTIAN COUNSELING CENTER
NPI 1033372818
Clinic/Center in Port Huron, MI

Active since July 02, 2008
1101 MILITARY ST, PORT HURON, MI 48060(810) 984-5575(810) 984-6433 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Colonial Woods Christian Counseling Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLONIAL WOODS CHRISTIAN COUNSELING CENTER (NPI 1033372818) is a healthcare organization registered as a clinic/center in Port Huron, Michigan and active in the NPI registry since July 2008. The organization lists Laurie L Goetze, Director, as its authorized official.

NPPES Registry Identity

NPI1033372818
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOLONIAL WOODS MISSIONARY CHURCH
Location Address1101 MILITARY STPort Huron, MI 48060-5418
Mailing Address1101 Military StPort Huron, MI 48060-5418 · (810) 984-5575 · Fax (810) 984-6433
Fax(810) 984-6433
Organization SubpartYes
Authorized OfficialLaurie L GoetzeDirector · (810) 984-5575
Enumeration DateJuly 2, 2008
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1033372818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1101 MILITARY ST, Port Huron, MI 48060

Other Names 1

Doing Business AsColonial Woods Christian Counseling Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colonial Woods Christian Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Colonial Woods Christian Counseling Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker5
Mental Health Counselor4
Psychiatry1

Clinicians, nearest first (10)

Clinical Social Worker
NPI 1750481289
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467616789
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1790417061
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1922702687
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1265565501
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1699345801
1101 MILITARY ST
Port Huron, MI 48060
(810) 984-5575
✔ PECOSSame address
Psychiatry
NPI 1043308455
1209 RICHARDSON ST
Port Huron, MI 48060
(810) 984-5156
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1154601714
1326 WISCONSIN AVE
Marysville, MI 48040
(734) 425-4070
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Social Worker
NPI 1407224413
135 BROADWAY ST
Marine City, MI 48039
(810) 765-5010
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1629185681
1800 IMLAY CITY RD
Lapeer, MI 48446
(810) 245-5704
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colonial Woods Missionary Church's NPI number?

The NPI number for Colonial Woods Missionary Church is 1033372818. It was assigned to this organization in the NPPES registry on July 2, 2008. The provider is doing business as Colonial Woods Christian Counseling Center.

Where is Colonial Woods Missionary Church located?

Colonial Woods Missionary Church is located at 1101 Military St, Port Huron, MI 48060. The listed phone number is (810) 984-5575.

What is Colonial Woods Missionary Church's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Colonial Woods Missionary Church enrolled in Medicare?

Yes. Colonial Woods Missionary Church is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colonial Woods Missionary Church?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Colonial Woods Missionary Church. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Mental Health Counselor (4) and Psychiatry (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Colonial Woods Missionary Church accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Colonial Woods Missionary Church as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colonial Woods Missionary Church was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.