Individual provider Active NPI

Michael Halleck, LPC

  • Counselor
  • Jackson, MI
National Provider Identifier
1154029007
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401225282 Issued in MI
Practice address
300 W Washington Ave Ste 210B
Jackson, MI 49201-2160
Phone
(517) 344-0913
Fax
(517) 905-6007
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401225282 MI Primary

Addresses

Primary practice location

300 W Washington Ave Ste 210B
Jackson, MI 49201-2160

Mailing address

300 W Washington Ave Ste 210B
Jackson, MI 49201-2160
Phone (517) 344-0913

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
I20250628000138 MI Practitioner - Mental Health Counselor 9133632672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irwin Counseling Service PLLCGroup PAC ID 3971975004, 10 clinicians

Practice addresses (Care Compare)

300 W Washington Ave
Suite 210B
Jackson, MI 49201-2160
Phone (517) 227-6038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401225282MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Counseling Service PLLC Mental Health CurrentSince Jun 23, 2025 Accepting new patients
Azimuth Counseling PLLC Mental Health Current Accepting new patients

Locations

300 W Washington Ave
Ste 210B
Jackson, MI 49201
Phone (517) 227-6038

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1154029007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 210B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012160",
            "telephone_number": "517-344-0913",
            "fax_number": "517-905-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 210B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012160",
            "telephone_number": "517-344-0913",
            "fax_number": "517-905-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLECK",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401225282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.