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ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1619852167
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Huron, MI

Active since August 06, 2025
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900(810) 966-3393 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1619852167) 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 August 2025. The organization lists Debra Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619852167
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900 · Fax (810) 966-3393
Phone(810) 985-8900
Fax(810) 966-3393
Organization SubpartYes
Authorized OfficialDebra JohnsonCeo · (810) 985-8900
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1619852167 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
3111 ELECTRIC AVE, Port Huron, MI 48060
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Other Names 1

Other NameSt. Clair County Community Mental Health-ccbhc

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.

MRS. MARY E CROTEAU R.N.,B.S.N.
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
HEATHER STEWART LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
MICAELA ANNE CHAMPINE
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
CALLIE GUNN
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JACQUELINE RENEE NICHOLS
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
SHELBY RENEE GRAHAM
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
BRIAN FANION LMSW
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-8900
JORDAN FRONTIERO B.S
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 966-3739

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 1619852167. It was assigned to this organization in the NPPES registry on August 6, 2025. The provider is also known as St. Clair County Community Mental Health-CCBHC.

Where is St Clair County Community Mental Health Authority located?

St Clair County Community Mental Health Authority is located at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

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.

When was this NPI record last updated?

The NPPES record for St Clair County Community Mental Health Authority was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.