New Directions Counseling and Neurobehavioral Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW DIRECTIONS COUNSELING AND NEUROBEHAVIORAL CENTER, LLC

Practice address

2355 Delta Rd
Bay City, MI 48706-9340

Phone

(989) 684-6832

Fax

(989) 684-4856

NPI assigned

Jul 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW DIRECTIONS COUNSELING AND NEUROBEHAVIORAL CENTER, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nancy Jean Gardner, PSYD, LP, LPCNPI 1871723577

Title

Owner/Psychologist

Phone

(989) 684-6832

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Part of

New Directions Counseling and Neurobehavioral Center LLC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Jean Gardner, LP, LPC

  • Psychologist
  • Bay City, MI
  • NPI 1871723577
  Medicare reassignment NPD Authorized official
• Pamela Ann Nadzan, LPC

  • Mental Health Counselor
  • Essexville, MI
  • NPI 1992287775
  Medicare reassignment NPD
• Juan Ricado Ramirez

  • Case Manager/Care Coordinator
  • Saginaw, MI
  • NPI 1942781695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013430545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DELTA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069340",
            "telephone_number": "989-684-6832",
            "fax_number": "989-684-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DELTA RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069340",
            "telephone_number": "989-684-6832",
            "fax_number": "989-684-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS COUNSELING AND NEUROBEHAVIORAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW DIRECTIONS COUNSELING AND NEUROBEHAVIORAL CENTER, LLC",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "989-684-6832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "23114147001522",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bay City, MI
• Providers in Bay City, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.