Individual provider Active NPI

Michael James Opsommer, LMSW, CAC1

  • Mental Health Counselor
  • Brighton, MI
National Provider Identifier
1033209366
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801062764 Issued in MI
Practice address
2300 Genoa Business Park Dr Ste 180
Brighton, MI 48114-7374
Phone
(810) 220-2787
Fax
(810) 220-2834
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801062764 MI Primary
Professional Counselor 101YP2500X 6801062764 MI

Addresses

Primary practice location

2300 Genoa Business Park Dr Ste 180
Brighton, MI 48114-7374

Mailing address

11735 Crestview Rd
Whitmore Lake, MI 48189-9309
Phone (734) 449-4607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801062764MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.michaelopsommer@150339.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033209366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 CRESTVIEW RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899309",
            "telephone_number": "734-449-4607",
            "fax_number": "517-485-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GENOA BUSINESS PARK DR STE 180",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147374",
            "telephone_number": "810-220-2787",
            "fax_number": "810-220-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPSOMMER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LMSW, CAC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801062764",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6801062764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.