Individual provider Active NPI

Mary Vang, MA, LPC

  • Professional Counselor
  • Clinton Township, MI
National Provider Identifier
1265833420
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014119 Issued in MI
Practice address
16645 15 Mile Rd # B
Clinton Township, MI 48035-2206
Phone
(586) 213-5505
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014119 MI Primary

Addresses

Primary practice location

16645 15 Mile Rd # B
Clinton Township, MI 48035-2206

Mailing address

16645 15 Mile Rd # B
Clinton Township, MI 48035-2206

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
I20240910003763 MI Practitioner - Mental Health Counselor 1658811278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Things Possible Wellness Center, PLLCGroup PAC ID 3173988128, 17 clinicians

Practice addresses (Care Compare)

16645 15 Mile Rd
Clinton Township, MI 48035-2206
Phone (586) 213-5505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Things Possible Wellness Center, PLLC CurrentSince Aug 14, 2024 Accepting new patients
Renewal Christian Counseling Inc Past Accepting new patients
Renewal Christian Counseling Inc Past Accepting new patients

Locations

16645 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 213-5505

16645 15 Mile Rd
#B
Clinton Twp, MI 48035
Phone (586) 213-5055

Organizations & group practices 3

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1265833420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD # B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 15 MILE RD # B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352206",
            "telephone_number": "586-213-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "MARY",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.