ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1821133265
Community/Behavioral Health in Marine City, MI

Active since February 21, 2007
6221 KING RD, MARINE CITY, MI 48039(810) 765-5010 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, Aug 7, 2023, May 25, 2023 (3 updates tracked since 2023).

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 1821133265) is a healthcare organization registered as a community/behavioral health in Marine City, Michigan and active in the NPI registry since February 2007. The organization lists Debra B Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1821133265
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address6221 KING RDMarine City, MI 48039-1428
Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900
Organization SubpartYes
Authorized OfficialDebra B JohnsonExecutive Director · (810) 985-8900
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1821133265 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.
6221 KING RD, Marine City, MI 48039

Other Names 1

Other NameSt. Clair County Community Mental Health South: Marine City - King Road

Other Identifiers 2

Medicaid4349015MI
Medicaid1708164MI

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)

St Clair County Community Mental Health Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to St Clair County Community Mental Health Authority, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker71
Nurse Practitioner8
Mental Health Counselor6
Occupational Therapist in Private Practice6
Psychiatry3

Nearest to this location (20)

See all 94
Clinical Social Worker
NPI 1184099111
6221 KING RD
Marine City, MI 48039
(810) 765-5010
✔ PECOSSame address
Mental Health Counselor
NPI 1114336500
6221 KING RD
Marine City, MI 48039
(810) 765-5010
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1770126955
6221 KING RD
Marine City, MI 48039
(810) 765-8539
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1992987002
515 S PARKER ST STE D
Marine City, MI 48039
(810) 765-5010
✔ PECOS✔ Accepts Medicare0.7 mi
Occupational Therapist in Private Practice
NPI 1881607737
515 S PARKER ST SUITE D.
Marine City, MI 48039
(810) 765-3300
✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1275271520
135 BROADWAY ST
Marine City, MI 48039
(810) 400-4200
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1821422627
1600 GRATIOT BLVD
Marysville, MI 48040
(810) 388-1200
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1699370627
30061 JOHN RIVERS DR
New Haven, MI 48048
(586) 746-4297
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1932572476
3325 DOVE RD
Port Huron, MI 48060
(810) 941-8701
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1295968899
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 966-3596
✔ PECOS✔ Accepts Medicare16 mi
Psychiatry
NPI 1104939719
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS✔ Accepts Medicare16 mi
Occupational Therapist in Private Practice
NPI 1952011884
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
16 mi
Occupational Therapist in Private Practice
NPI 1306596457
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1851096861
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS16 mi
Nurse Practitioner
NPI 1619740982
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1538790373
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1306502117
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS✔ Accepts Medicare16 mi
Occupational Therapist in Private Practice
NPI 1073097549
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ Accepts Medicare16 mi
Psychiatry
NPI 1083902977
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS✔ Accepts Medicare16 mi
Mental Health Counselor
NPI 1609923051
3111 ELECTRIC AVE
Port Huron, MI 48060
(810) 985-8900
✔ PECOS16 mi
See all 94 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 St Clair County Community Mental Health Authority's NPI number?

The NPI number for St Clair County Community Mental Health Authority is 1821133265. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is also known as St. Clair County Community Mental Health South: Marine City - King Road.

Where is St Clair County Community Mental Health Authority located?

St Clair County Community Mental Health Authority is located at 6221 King Rd, Marine City, MI 48039. The listed phone number is (810) 765-5010.

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

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

Is St Clair County Community Mental Health Authority enrolled in Medicare?

Yes. St Clair County Community Mental Health Authority is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Clair County Community Mental Health Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 5 Medicare specialties reassign their Medicare billing to St Clair County Community Mental Health Authority. 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 (71), Nurse Practitioner (8) and Mental Health Counselor (6). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Clair County Community Mental Health Authority accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Clair County Community Mental Health Authority 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 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 16 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.