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ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1104670876
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Huron, MI

Active since April 17, 2024CLIA 23D2025464 · Waiver
2415 24TH ST, PORT HURON, MI 48060(810) 488-8840(810) 966-3393 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Apr 17, 2024 (2 updates tracked since 2024).

About St Clair County Community Mental Health Authority NPPES

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

ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (NPI 1104670876) is a healthcare organization registered as a mental health (including community mental health center) in Port Huron, Michigan and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Debra B Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104670876
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address2415 24TH STPort Huron, MI 48060-6414
Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900
Phone(810) 488-8840
Fax(810) 966-3393
Organization SubpartYes
Authorized OfficialDebra B JohnsonExecutive Director · (810) 985-8900
Enumeration DateApril 17, 2024
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1104670876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2415 24TH ST, Port Huron, MI 48060
Open in Google Maps ↗

Other Names 1

Other NameChild And Family Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2025464

St Clair County Community Mental Authorities · Port Huron, MI
Active · expires Jun 8, 2027
CLIA Number23D2025464
Laboratory TypeComm Mental Health Fac
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorDebra Johnson
Laboratory Phone(810) 985-8900
Laboratory LocationSt Clair County Community Mental Authorities3111 Electric Avenue, Port Huron, MI 48060
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TIFFANY LYNN MCMANAMAN LLP
Psychologist
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8840
CARSON STEPHEN MILLS
Peer Specialist
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8840
SHERRI WESTBROOK M.S., L.L.P.
Psychologist (Clinical)
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8875
CHELSEA SHERMAN LMSW
Social Worker (Clinical)
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8840
LAURA KING LPC
Counselor
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (108) 488-8840
DYLLAN DUENAZ LLMSW
Social Worker (Clinical)
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8840
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Community/Behavioral Health
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (810) 488-8840
MORGAN SHAFER LMSW
Social Worker
2415 24TH ST
PORT HURON, MI 48060
St. Clair County (108) 488-8890

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 St Clair County Community Mental Health Authority's NPI number?

The NPI number for St Clair County Community Mental Health Authority is 1104670876. It was assigned to this organization in the NPPES registry on April 17, 2024. The provider is also known as Child and Family Services.

Where is St Clair County Community Mental Health Authority located?

St Clair County Community Mental Health Authority is located at 2415 24th St, Port Huron, MI 48060. The listed phone number is (810) 488-8840.

What is St Clair County Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does St Clair County Community Mental Health Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2025464) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Clair County Community Mental Health Authority was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.