John Mitchell Combs, LLPC
Individual provider Active NPI Counselor · Mason, MI
NPI 1225461411 · NPPES record last updated Aug 12, 2013
Key facts
- NPI
- 1225461411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401013712 (MI)
- Practice address
- 602 Ann St
Mason, MI 48854-1261 - Phone
- (517) 525-4648
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013712 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Michigan Counseling Group LLC | Current | Accepting new patients |
Locations
1520 Ramblewood Dr
East Lansing, MI 48823
Phone (517) 247-4624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013712 | MI | Yes |
Addresses
Primary practice location
602 Ann St
Mason, MI 48854-1261
Mailing address
602 Ann St
Mason, MI 48854-1261
Phone (517) 525-4648
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.