Individual provider Active NPI

Chad Marks, LPC

  • Counselor
  • Troy, MI
National Provider Identifier
1275948200
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014256 Issued in MI
Practice address
700 E Big Beaver Rd Ste D
Troy, MI 48083-1435
Phone
(248) 817-6629
Fax
(248) 817-6694
NPI assigned
Jun 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014256 MI Primary

Addresses

Primary practice location

700 E Big Beaver Rd Ste D
Troy, MI 48083-1435

Mailing address

700 E Big Beaver Rd Ste D
Troy, MI 48083-1435
Phone (248) 817-6629

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
I20231206002399 MI Practitioner - Mental Health Counselor 9335598028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling Center of Troy, LLCGroup PAC ID 0143649475, 3 clinicians

Practice addresses (Care Compare)

700 E Big Beaver Rd
Suite D
Troy, MI 48083-1435
Phone (248) 817-6629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014256MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Center of Troy, LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

700 E Big Beaver Rd
Ste D
Troy, MI 48083
Phone (248) 417-3783

650 E Big Beaver Rd
Ste B
Troy, MI 48083
Phone (248) 770-2285

Organizations & group practices 1

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1275948200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BIG BEAVER RD STE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831435",
            "telephone_number": "248-817-6629",
            "fax_number": "248-817-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BIG BEAVER RD STE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831435",
            "telephone_number": "248-817-6629",
            "fax_number": "248-817-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "CHAD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.