Individual provider Active NPI

Ann M Bixler, LPC LLP

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1265403380
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018974 Issued in MI
Practice address
2020 Raybrook St SE
Grand Rapids, MI 49546-7717
Phone
(616) 202-4444
Fax
(616) 942-6690
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401018974 MI Primary
Clinical Psychologist 103TC0700X 6301010530 MI

Addresses

Primary practice location

2020 Raybrook St SE
Grand Rapids, MI 49546-7717

Mailing address

2020 Raybrook St SE Ste 305
Grand Rapids, MI 49546-7717
Phone (616) 202-4444

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
I20240122002551 MI Practitioner - Mental Health Counselor 6901812361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Counseling and Therapy ServicesGroup PAC ID 8921385600, 7 clinicians

Practice addresses (Care Compare)

2020 Raybrook St SE
Suite 305
Grand Rapids, MI 49546-7717
Phone (616) 202-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301010530MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling and Therapy Services CurrentSince Jan 1, 2024 Accepting new patients
Claystone Clinical Associates PLC Professional PastSince Aug 24, 2009 Accepting new patients

Locations

2020 Raybrook St SE
Grand Rapids, MI 49546
Phone (414) 520-2503

2020 Raybrook St SE
Ste 305
Grand Rapids, MI 49546
Phone (616) 202-4444

230 W Shaw St
Howard City, MI 49329
Phone (231) 937-6391

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1265403380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE STE 305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-202-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-202-4444",
            "fax_number": "616-942-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXLER",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "LPC LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018974",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.