Individual provider Active NPI

Mary K Hippler, LPC

  • Professional Counselor
  • Freeland, MI
National Provider Identifier
1306289863
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014871 Issued in MI
Practice address
8702 Wandering Way
Freeland, MI 48623-9557
Phone
(989) 999-8463
Fax
(989) 266-1440
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Time Behavioral and Mental Health LLC 4 clinicians

Practice addresses (Care Compare)

8702 Wandering Way
Freeland, MI 48623-9557
Phone (989) 999-8463

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
I20250424003173 MI Practitioner - Mental Health Counselor 1557887312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014871MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Growth Counseling PLLC Counselor Current Accepting new patients
Your Time Behavioral & Mental Health LLC Mental Health CurrentSince Apr 14, 2025 Accepting new patients
Pediatric and Adolescent Behavioral Counseling, LLC. Counselor Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401014871 MI
Professional Counselor 101YP2500X 6401014871 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

8702 Wandering Way
Freeland, MI 48623-9557

Mailing address

6549 Town Center Dr
Clarkston, MI 48346-4824
Phone (248) 620-6400

Other practice location 1

42669 Garfield Rd
Clinton Township, MI 48038-5036
Phone (586) 412-5321

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
6401014871OtherMILPC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2025.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1306289863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400",
            "fax_number": "248-620-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 WANDERING WAY",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239557",
            "telephone_number": "989-999-8463",
            "fax_number": "989-266-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42669 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480385036",
            "country_code": "US",
            "telephone_number": "586-412-5321",
            "fax_number": "586-412-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIPPLER",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014871",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "6401014871",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

Verify at the official NPI Registry.