Shanda Berdan Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401013102 Issued in MI

Legal business name

SHANDA BERDAN COUNSELING SERVICES

Practice address

337 E Houghton Ave
Clinic a, RM 5
West Branch, MI 48661-1127

Phone

(989) 701-5836

Fax

(989) 685-8363

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Shanda Renee Berdan, LPC, LLBSW

Title

Licensed Professional Counselor

Phone

(989) 701-5836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1164826574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HEBESTREIT ST",
            "address_2": "PO BOX 325",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486542503",
            "telephone_number": "989-701-5836",
            "fax_number": "989-685-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E HOUGHTON AVE",
            "address_2": "CLINIC A, RM 5",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-701-5836",
            "fax_number": "989-685-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDA BERDAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "BERDAN",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "989-701-5836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LLBSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401013102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Christopher Schafer, M.D.
• Donna Schmidt-Kroczaleski
• Donald Martin Schwebs
• Emily Sell
• Serenity Home Health Care of Northeast Michigan
• Megan Kelly Shank
• Shared Care of West Branch LLC
• Heather Sharpe
• Bradley Wallace Sheppard, BSW LLBSW
• Jessica Sheppard

• Community/Behavioral Health Agency in West Branch, MI
• Providers in West Branch, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.