Individual provider Active NPI

Brenda C Webb, M.A. LLPC

  • Mental Health Counselor
  • Beaverton, MI
National Provider Identifier
1164503553
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
909396 Issued in MI
Practice address
201 S Ross St
Beaverton, MI 48612-8113
Phone
(989) 426-6023
NPI assigned
Oct 18, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 909396 MI Primary

Addresses

Primary practice location

201 S Ross St
Beaverton, MI 48612-8113

Mailing address

381 S M18
Gladwin, MI 48624-2215
Phone (989) 426-6023

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
I20240628003553 MI Practitioner - Mental Health Counselor 6002350154 Practice locations: Beaverton, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 S Ross St
Beaverton, MI 48612-8113
Phone (989) 426-6023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
909396MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
At a Cross Road Counseling, PLLC Mental Health CurrentSince May 19, 2024 Accepting new patients

Locations

201 S Ross St
Beaverton, MI 48612
Phone (989) 289-7578

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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1164503553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S M18",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242215",
            "telephone_number": "989-426-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROSS ST",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486128113",
            "telephone_number": "989-426-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRENDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.A. LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "909396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, MI

Sources for this page

Verify at the official NPI Registry.