Individual provider Active NPI

Donna Marie Mizwa, MA, LPC, CAADC

  • Professional Counselor
  • Clinton Township, MI
National Provider Identifier
1124126016
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007277 Issued in MI
Practice address
42450 Garfield Rd Ste B
Clinton Township, MI 48038-5040
Phone
(586) 484-1438
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 6401007277 MI Primary

Addresses

Primary practice location

42450 Garfield Rd Ste B
Clinton Township, MI 48038-5040

Mailing address

18661 Wigeon Dr
Clinton Township, MI 48038-1167
Phone (586) 484-1438

Other names 1

  • Donna Marie Walczyk Former name

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
I20240311002372 MI Practitioner - Mental Health Counselor 9436509015 Practice locations: Clinton Township, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42450 Garfield Rd
Suite B
Clinton Township, MI 48038-5040
Phone (586) 484-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1124126016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18661 WIGEON DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381167",
            "telephone_number": "586-484-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385040",
            "telephone_number": "586-484-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZWA",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "WALCZYK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.