COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES OF ST JOSEPH COUN
NPI 1366438483
Community/Behavioral Health in Centreville, MI

Active since September 23, 2005
677 E MAIN ST STE A, CENTREVILLE, MI 49032(269) 467-1000(269) 467-3075 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Mental Health And Substance Abuse Services Of St Joseph Coun NPPES

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

COMMUNITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES OF ST JOSEPH COUN (NPI 1366438483) is a healthcare organization registered as a community/behavioral health in Centreville, Michigan and active in the NPI registry since September 2005. The organization lists Cameron Bullock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366438483
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY
Location Address677 E MAIN ST STE ACentreville, MI 49032-8525
Mailing Address677 E Main St Ste ACentreville, MI 49032-8525 · (269) 467-1000 · Fax (269) 467-3075
Fax(269) 467-3075
Organization SubpartNo
Authorized OfficialCameron BullockCeo · (269) 467-1001
Enumeration DateSeptember 23, 2005
Last NPPES UpdateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1366438483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
677 E MAIN ST STE A, Centreville, MI 49032

Other Names 2

Doing Business AsCommunity Mental Health And Substance Abuse Services Of St Joseph Coun
Doing Business AsPivotal

Other Identifiers 1

Medicaid1708146MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Mental Health And Substance Abuse Services Of St Joseph Coun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20041011000172Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Community Mental Health And Substance Abuse Services Of St Joseph Coun, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Clinical Social Worker17
Psychiatry13
Mental Health Counselor6
Nurse Practitioner2

Nearest to this location (20)

See all 38
Clinical Social Worker
NPI 1417694175
677 E MAIN ST
Centreville, MI 49032
(269) 467-1001
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1356762215
677 E MAIN ST STE A
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1699423715
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578105334
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1770988545
677 E MAIN ST SUITE A
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1497081723
677 EAST MAIN ST SUITE A
Centreville, MI 49032
(269) 467-1000
✔ PECOSSame address
Mental Health Counselor
NPI 1245797257
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235781121
677 E MAIN ST STE A
Centreville, MI 49032
(269) 467-1000
✔ PECOSSame address
Mental Health Counselor
NPI 1053410829
677A EAST MAIN
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1578175352
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1528167392
677A EAST MAIN
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902152945
677 EAST MAIN STREET SUITE A
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1720581200
677 E MAIN STREET
Centreville, MI 49032
(269) 467-1000
✔ PECOSSame address
Nurse Practitioner
NPI 1376965202
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1942628862
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1407436215
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1720763162
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1225381080
677 E MAIN ST
Centreville, MI 49032
(269) 467-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1336515279
413 N GRAND ST STE A
Schoolcraft, MI 49087
(269) 858-5214
✔ PECOS15 mi
Clinical Social Worker
NPI 1922651041
4341 S WESTNEDGE AVE
Kalamazoo, MI 49008
(269) 241-3772
✔ PECOS23 mi
See all 38 clinicians

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 Community Mental Health Services Of St Joseph County's NPI number?

The NPI number for Community Mental Health Services Of St Joseph County is 1366438483. It was assigned to this organization in the NPPES registry on September 23, 2005. The provider is doing business as Community Mental Health And Substance Abuse Services Of St Joseph Coun and Pivotal.

Where is Community Mental Health Services Of St Joseph County located?

Community Mental Health Services Of St Joseph County is located at 677 E Main St Ste A, Centreville, MI 49032. The listed phone number is (269) 467-1000.

What is Community Mental Health Services Of St Joseph County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Community Mental Health Services Of St Joseph County enrolled in Medicare?

Yes. Community Mental Health Services Of St Joseph County is registered in the Medicare PECOS enrollment system.

When is Community Mental Health Services Of St Joseph County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Community Mental Health Services Of St Joseph County?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 4 Medicare specialties reassign their Medicare billing to Community Mental Health Services Of St Joseph County. 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 (17), Psychiatry (13) and Mental Health Counselor (6). Of these, 17 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Mental Health Services Of St Joseph County accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Community Mental Health Services Of St Joseph County 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 Community Mental Health Services Of St Joseph County was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.