Individual provider Active NPI

Melissa Gratzinger, MA LPC

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1053614883
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012052 Issued in MI
Practice address
2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736
Phone
(734) 956-0051
Fax
(888) 976-6019
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012052 MI Primary

Addresses

Primary practice location

2002 Hogback Rd Ste 17
Ann Arbor, MI 48105-9736

Mailing address

4007 Carpenter Rd # 214
Ypsilanti, MI 48197-9644
Phone (734) 956-0051

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012052MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Counseling Associates, LLC Mental Health CurrentSince May 1, 2017 Accepting new patients
Arbor West Chiropractic Center P.C. PastSince May 1, 2021 Accepting new patients

Locations

2002 Hogback Rd
Ste 17
Ann Arbor, MI 48105
Phone (734) 956-0051

2385 S Huron Pkwy
Ste 1S
Ann Arbor, MI 48104
Phone (734) 649-0244

6276 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 956-0051

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1053614883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CARPENTER RD # 214",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979644",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 17",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-956-0051",
            "fax_number": "888-976-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATZINGER",
        "first_name": "MELISSA",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.