Michigan Integrated Therapies

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4101006627 Issued in MI

Legal business name

MICHIGAN INTEGRATED THERAPIES

Practice address

8080 Moorsbridge Rd Ste 102
Portage, MI 49024-4422

Phone

(269) 762-1010

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Ashley Zukowski

Title

Office Manager

Phone

(480) 326-7427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corinne Renee Clancy Graber, LMFT

  • Marriage & Family Therapist
  • Portage, MI
  • NPI 1073805834
  Medicare reassignment NPD
• Adrianna Nemeth

  • Clinical Social Worker
  • Portage, MI
  • NPI 1427648096
  Medicare reassignment NPD
• Erik Reynold Fritzen, LLMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1750256517
  NPD
• Timothy David Henson, LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1801228051
  NPD
• Ja'Nae Jones, LLPC

  • Mental Health Counselor
  • Portage, MI
  • NPI 1144035197
  NPD
• Jessica Eloise Robb, LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1316284805
  NPD
• Sophie Skochelak, LLMSW

  • Social Worker
  • Portage, MI
  • NPI 1447969845
  NPD
• Catherine Victoria Baeza

  • Addiction (Substance Use Disorder) Counselor
  • Portage, MI
  • NPI 1427877463
  NPD (past)
• Anna Eccleston

  • Mental Health Counselor
  • Portage, MI
  • NPI 1861042731
  NPD (past)
• Ashley Petersen, LLPC

  • Professional Counselor
  • Portage, MI
  • NPI 1912747858

  Multi-Specialty

  NPD (past)
• Amy Pradna-Waugaman, LPC, LLMFT

  • Professional Counselor
  • Portage, MI
  • NPI 1427763465
  NPD (past)
• Jessica L Payne, PSYD, MSW

  • Psychologist
  • Honolulu, HI
  • NPI 1922407923
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1275032807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 102",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "269-762-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 102",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "269-762-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Kenmoor Ave SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462390",
            "country_code": "US",
            "telephone_number": "269-264-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN INTEGRATED THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "ZUKOWSKI",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-326-7427"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4101006627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Meyers, PT
• Sabbir Miah, RPH
• Michael V Bloom PHD LLC
• Michelle Hanson
• Michigan Integrated Therapies
• Michigan Senior Care Inc.
• Mid Michigan Home Visiting Doctors LLC
• Mid-America Psychological Services, P. C.
• Midwest Family Dental Care Portage PC
• Jackquline Mileski, BSW

• Mental Health Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.