Barry Craig Eitel, M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063087 Issued in MI

Practice address

4315 Piehl Rd
Ottawa Lake, MI 49267-8710

Phone

(419) 260-5552

NPI assigned

Jun 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barry C Eitel, Inc.

  • Community/Behavioral Health Agency
  • Ottawa Lake, MI
  • NPI 1134250764
  Medicare reassignment NPD Authorized official
• Aware Resources, Inc.

  • Clinical Psychologist
  • Munroe Falls, OH
  • NPI 1518070630
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225066152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 PIEHL RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492678710",
            "telephone_number": "419-260-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 PIEHL RD",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492678710",
            "telephone_number": "419-260-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITEL",
        "first_name": "BARRY",
        "middle_name": "CRAIG",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kaye Baldwin
• Barry C Eitel, Inc.
• Harry Buberniak Jr., DC
• John R Debruyne II, M.S.W., M.B.A
• Marie Goetz
• Halee Jordan Grams, TLLP
• Alisha Hixson, M.A., CCC-SLP
• Laurie Ann Marsh
• Restorative Roots LLC

• Clinical Social Worker in Ottawa Lake, MI
• Providers in Ottawa Lake, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.