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BLUE WATER MENTAL HEALTH CLINIC
NPI 1457305419
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Gratiot, MI

Active since May 22, 2006
1501 KRAFFT RD, FORT GRATIOT, MI 48059(810) 985-5125(810) 985-5127 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Blue Water Mental Health Clinic NPPES

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

BLUE WATER MENTAL HEALTH CLINIC (NPI 1457305419) is a healthcare organization registered as a mental health (including community mental health center) in Fort Gratiot, Michigan and active in the NPI registry since May 2006. The organization lists Linda A Liethen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457305419
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLUE WATER MENTAL HEALTH CLINIC
Location Address1501 KRAFFT RDFort Gratiot, MI 48059-3565
Mailing Address1501 Krafft RdFort Gratiot, MI 48059-3565 · (810) 985-5125 · Fax (810) 985-5127
Phone(810) 985-5125
Fax(810) 985-5127
Organization SubpartNo
Authorized OfficialLinda A LiethenExecutive Director · (810) 985-5125
Enumeration DateMay 22, 2006
Last NPPES UpdateNovember 29, 2016
✔ NPI 1457305419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1501 KRAFFT RD, Fort Gratiot, MI 48059
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Other Identifiers 2

Medicare PIN0G46321MI
Medicare PIN0G46345MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

APRIL GARDNER
Social Worker (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
MS. ANDREA JESSICA COVREA PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
ASHLEY SLY LLMSW
Counselor (Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
DR. DEVIN R SOUTH PSYD, LP
Psychologist (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
AMY BECK LMSW
Social Worker (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
ALEXIS SAWYER LLPC
Counselor (Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
AMANDA CAMPBELL-SCHNEEBERGER
Psychologist (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
BLUE WATER MENTAL HEALTH CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125

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 Blue Water Mental Health Clinic's NPI number?

The NPI number for Blue Water Mental Health Clinic is 1457305419. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Blue Water Mental Health Clinic located?

Blue Water Mental Health Clinic is located at 1501 Krafft Rd, Fort Gratiot, MI 48059. The listed phone number is (810) 985-5125.

What is Blue Water Mental Health Clinic'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.

What insurance does Blue Water Mental Health Clinic 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 Blue Water Mental Health Clinic 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 Blue Water Mental Health Clinic was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.