Individual provider Active NPI

Charles Mitchell Hill, LPC

  • Professional Counselor
  • Greenville, MI
National Provider Identifier
1124271986
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018215 Issued in MI
Practice address
6728 Vining Rd
Greenville, MI 48838
Phone
(616) 225-8220
Fax
(616) 225-8226
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018215 MI Primary
Professional Counselor 101YP2500X 6401010834 MI

Addresses

Primary practice location

6728 Vining Rd
Greenville, MI 48838

Mailing address

6728 Vining Rd
Greenville, MI 48838
Phone (616) 225-8220

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
I20240104003740 MI Practitioner - Mental Health Counselor 9638520562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6728 Vining Rd
Greenville, MI 48838-9784
Phone (616) 225-8220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401010834MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hope Christian Counseling & Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

6728 Vining Rd
Greenville, MI 48838
Phone (616) 225-8220

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.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1124271986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 VINING RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "48838",
            "telephone_number": "616-225-8220",
            "fax_number": "616-225-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 VINING RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "48838",
            "telephone_number": "616-225-8220",
            "fax_number": "616-225-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHARLES",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018215",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.