Maureen Renee-Strasser Creal, LP

Individual provider Active NPI Mental Health Counselor · Berkley, MI

NPI 1295928612 · NPPES record last updated May 14, 2012

Key facts

NPI
1295928612
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6301014096 (MI)
Practice address
3083 Coolidge Hwy
Berkley, MI 48072-3523
Phone
(248) 850-1547
Fax
(248) 850-1545
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3083 Coolidge Hwy
Berkley, MI 48072-3523
Phone 2488501547248850

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120511000324 MI Practitioner - Clinical Psychologist 8527221431 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6301014096MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Maureen RS Creal, PLLC Psychologist Current
since Feb 10, 2012
Accepting new patients

Locations

3083 Coolidge Hwy
Berkley, MI 48072
Phone (248) 850-1546

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6301014096 MI Yes

Addresses

Primary practice location

3083 Coolidge Hwy
Berkley, MI 48072-3523

Mailing address

3083 Coolidge Hwy
Berkley, MI 48072-3523
Phone (248) 850-1547

Other providers in Berkley, MI

All providers in Berkley, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.