Blue Water Counseling and Wellness Center, Inc. is a Community/Behavioral Health Agency (organization) practicing in Roseville, Michigan. The National Provider Identifier (NPI) is #1023560851, which was assigned on October 27, 2016, and the registration record was last updated on January 6, 2026. The practitioner's main practice location is at 18600 Florence St Ste T6g, Roseville, MI 48066-6600; the contact telephone number is 5862467837, and the fax number is 5867798146. The primary taxonomy of Blue Water Counseling and Wellness Center, Inc. is Community/Behavioral Health Agency (251S00000X). The authorized official for Blue Water Counseling and Wellness Center, Inc. is Kimberly L Goodwin (Director). Blue Water Counseling and Wellness Center, Inc. is licensed to practice in the state of Michigan (#6401010236).
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.
| NPI | 1023560851 |
| Entity Type | Organization |
| Organization Name | BLUE WATER COUNSELING AND WELLNESS CENTER, INC. |
| Provider Name | BLUE WATER COUNSELING AND WELLNESS CENTER, INC. |
| Practice Address |
18600 Florence St Ste T6g Roseville MI 48066-6600 |
| Practice Telephone | 5862467837 |
| Practice Fax Number | 5867798146 |
| Mailing Address |
18600 Florence St Ste T6g Roseville MI 48066-6600 |
| Mailing Telephone | 5862467837 |
| Mailing Fax Number | 5867798146 |
| Certification Date | 2026-01-06 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2026-01-06 |
| Is Organization Subpart | N |
| Official Name | KIMBERLY L GOODWIN |
| Official Title | DIRECTOR |
| Credential | BSN, MRC, LPC |
| Telephone | 5862467837 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401010236 | MI |
| Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| Classification | Community/Behavioral Health |
| Grouping | Agencies |
| 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition] |
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|---|---|---|---|
| Aaron Braun, Licensed Clinical Social Worker, Therapeutic Services Inc. | 4319 Piedmont Ave Fl 2, Oakland, CA 94611-4755 | Community/Behavioral Health Agency | 2026-06-06 |
| Katherine Prodanovich Licensed Professional Clinical Counselor, Corp. | 22922 Los Alisos Blvd Ste K-345, Mission Viejo, CA 92691-2856 | Community/Behavioral Health Agency | 2026-06-05 |
| Nurturing Minds Health and Wellness LLC | 9026 Liberty Rd Ste 102, Randallstown, MD 21133-3900 | Community/Behavioral Health Agency | 2026-06-05 |
| Behavioral Foundations Group, PLLC | 29980 Fm 2978 Rd Apt 3402, Magnolia, TX 77354-4136 | Community/Behavioral Health Agency | 2026-06-05 |
| Empowered Living Solutions& Wellness LLC | 3408 Plover Run Trl, Pflugerville, TX 78660-3628 | Community/Behavioral Health Agency | 2026-06-06 |
| Denesha Jordan | 2415 Greenvale Rd, Cleveland, OH 44121-1121 | Community/Behavioral Health Agency | 2026-06-05 |
| Oroville Southside Community Improvement Association | 2959 Lower Wyandotte Rd, Oroville, CA 95966-6201 | Community/Behavioral Health Agency | 2026-06-05 |
| Denver Recovery Solutions | 14001 E Iliff Ave Ofc 448, Aurora, CO 80014-1405 | Community/Behavioral Health Agency | 2026-06-06 |
| River Edge Behavioral Health Center | 461 E Montgomery St, Milledgeville, GA 31061-3008 | Community/Behavioral Health Agency | 2026-06-05 |
| Bluprint Mental Health Services | 636 Broad St Apt 100, Perryville, MD 21903-2814 | Community/Behavioral Health Agency | 2026-06-05 |
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| Street Address |
18600 FLORENCE ST STE T6G |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-6600 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tina M Smith · Tina M Osborne | 18600 Florence St Ste T6g, Roseville, MI 48066-6600 | Clinical Social Worker | 2025-01-24 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Evolving Changes Counseling Services LLC | 18600 Florence St Ste C23, Roseville, MI 48066-6600 | Case Management Agency | 2024-11-04 |
| Denurah Menanndruzz | 18600 Florence St Ste Td6, Roseville, MI 48066-6600 | Home Health Aide | 2022-04-22 |
| Dean Richard Tutak | 18600 Florence St, Suite B5, Roseville, MI 48066-6600 | Chiropractor | 2006-07-31 |
| Ahmen Home Health Care | 18600 Florence St Ste T6d, Roseville, MI 48066-6600 | Respite Care | 2022-04-16 |
| Renaissance Port Inc. | 18600 Florence St, Roseville, MI 48066-6600 | Community Health Worker | 2026-03-16 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cube | 18245 10 Mile Road, Suite 140, Roseville, MI 48066 | Clinical Social Worker | 2021-03-03 |
| Jordan Elizabeth Radcliff | 29751, Roseville, MI 48066 | Behavioral Analyst | 2025-02-14 |
| Renee Suzette Hoelzeman | 18472 Meier St, Roseville, MI 48066 | Family Nurse Practitioner | 2017-08-27 |
| Louay Mansour Dds PC | 27845 Gratiot Avenue, Roseville, MI 48066 | Dentist | 2020-08-20 |
| David S. Wendel | 25710 Kelly Road, Suite 2, Roseville, MI 48066 | Chiropractor | 2007-10-29 |
| Advanced Foot & Ankle Center PC | 25990 Kelly, Suite 4, Roseville, MI 48066 | Foot & Ankle Surgery Podiatrist | 2006-10-17 |
| Jomy Jose | 25719 Salem St, Roseville, MI 48066 | Gerontology Nurse Practitioner | 2019-09-18 |
| Express Meds LLC | 28350 Gratiot Avenue, Roseville, MI 48066 | Durable Medical Equipment & Medical Supplies | 2006-10-02 |
| Robert E Abrams | 30800 Little Mack Rd., Meijer Phcy, Roseville, MI 48066 | Pharmacist | 2007-04-02 |
| Gravity Reverzed LLC | 30502 Sandhurst, Bldg-5 Apt-102, Roseville, MI 48066 | Community Based Hospice Care Agency | 2026-03-16 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| High Water Mental Health Counseling PLLC | 60 E 112th St Apt 1408, New York, NY 10029-0335 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2026-05-06 |
| Sanative Counseling and Wellness Center LLC | 532 Page Street, Stoutghton, MA 02072 | Marriage & Family Therapist | 2021-09-10 |
| Blue Haven Counseling LLC | 1856 Valley Shoals Ln, Bishop, GA 30621-1397 | Professional Counselor | 2026-03-17 |
| Mattie Lee Christian Counseling and Wellness Center, LLC | 7836 Canter Ct, Severn, MD 21144-6801 | Mental Health Counselor | 2026-05-09 |
| Blue Wellness Studio, LLC | 35170 Brooten Rd Ste B, Pacific City, OR 97135-8036 | Massage Therapist | 2025-07-09 |
| Clearview Counseling and Wellness Center | 317 Warren St Unit A, Beverly, NJ 08010-1215 | Addiction (Substance Use Disorder) Counselor | 2026-04-25 |
| Still Water Healing Center LLC | 3251 Blenheim Blvd Ste 406&407, Fairfax, VA 22030-1504 | Adult Mental Health Clinic/Center | 2026-05-15 |
| Blue Waters Health Center, LLC | 3333 Clark Rd Ste 160, Sarasota, FL 34231-8436 | Chiropractor | 2026-04-14 |
| Blue Cross and Blue Shield of Massachusetts Hmo Blue, Inc. | 101 Huntington Ave, Mail Stop 0119-1911 C/O Kristin Jean, Boston, MA 02199 | Health Maintenance Organization | 2026-03-10 |
| Blue Star Aba Center LLC | 6020 N Hubert Ave, Tampa, FL 33614-5559 | Behavioral Analyst | 2026-03-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |