Active NPI
Michael James Opsommer, LMSW, CAC1
- Mental Health Counselor
- Brighton, MI
National Provider Identifier
1033209366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801062764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801062764 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- 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.