Individual provider Active NPI

Troy Michael Masengale

  • Counselor
  • Battle Creek, MI
National Provider Identifier
1033612981
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015341 Issued in MI
Practice address
11 Green St
Battle Creek, MI 49014-4028
Phone
(269) 965-1148
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015341 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6401015341 MI

Addresses

Primary practice location

11 Green St
Battle Creek, MI 49014-4028

Mailing address

22579 N Uldriks Dr
Battle Creek, MI 49017-9069
Phone (269) 830-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103002594 MI Practitioner - Mental Health Counselor 2062862212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 S Shore Dr
Battle Creek, MI 49014-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Center of Battle Creek Inc CurrentSince Jan 1, 2024 Accepting new patients
Haven of Rest Ministries of Battle Creek Counselor PastSince Mar 23, 2024 Accepting new patients

Locations

601 S Shore Dr
Unit 224
Battle Creek, MI 49014
Phone (269) 969-6115

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1033612981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22579 N ULDRIKS DR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490179069",
            "telephone_number": "269-830-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GREEN ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490144028",
            "telephone_number": "269-965-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASENGALE",
        "first_name": "TROY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015341",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401015341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.