Dewan Brandll McPherson, LLPC

Individual provider Active NPI Professional Counselor · Ludington, MI

NPI 1093087751 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1093087751
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401012845 (MI)
Practice address
101 W. Loomis Street
Ludington, MI 49431-2091
Phone
(231) 233-1655
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6401012845MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Healthcare Past
since Apr 24, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401012845 MI Yes

Addresses

Primary practice location

101 W. Loomis Street
Ludington, MI 49431-2091

Mailing address

3559 Oriole Dr
Troy, MI 48084-1618
Phone (248) 376-0679

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.cnsmi@direct.mihn.net Direct CNS Healthcare

Other providers in Ludington, MI

All providers in Ludington, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.