Individual provider Active NPI

Robert Ordiway, LPC

  • Professional Counselor
  • Cadillac, MI
National Provider Identifier
1053864223
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019389 Issued in MI
Practice address
2604 Sunnyside Dr
Cadillac, MI 49601-8749
Phone
(231) 510-1645
NPI assigned
Jul 25, 2016
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019389 MI Primary

Addresses

Primary practice location

2604 Sunnyside Dr
Cadillac, MI 49601-8749

Mailing address

2604 Sunnyside Dr
Cadillac, MI 49601-8749
Phone (231) 510-1645

Other practice location 1

4473 220th Ave # Avw
Reed City, MI 49677-8593
Phone (231) 832-2247

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
I20251115000397 MI Practitioner - Mental Health Counselor 9032600226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2604 Sunnyside Dr
Cadillac, MI 49601-8749

301 S Crapo St
Mt Pleasant, MI 48858-2941

PO Box
Suite 2257
Chesterton, IN 46304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401019389MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Therapy Mental Health CurrentSince Oct 11, 2025 Accepting new patients
Community Mental Health for Central Michigan CurrentSince Feb 9, 2026 Accepting new patients
Community Mental Health for Central Michigan PastSince Feb 9, 2026 Accepting new patients

Locations

2604 Sunnyside Dr
Cadillac, MI 49601
Phone (231) 510-0166

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

4473 220th Ave
Reed City, MI 49677
Phone (231) 832-2247

Organizations & group practices 3

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1053864223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018749",
            "telephone_number": "231-510-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SUNNYSIDE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018749",
            "telephone_number": "231-510-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4473 220th Ave # Avw",
            "address_purpose": "LOCATION",
            "city": "Reed City",
            "state": "MI",
            "postal_code": "496778593",
            "country_code": "US",
            "telephone_number": "231-832-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDIWAY",
        "first_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.