Individual provider Active NPI

Christina Yvette Vanchina

  • Professional Counselor
  • Clarkston, MI
National Provider Identifier
1326624552
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017044 Issued in MI
Practice address
5730 Bella Rosa Blvd
Clarkston, MI 48348-4778
Phone
(215) 581-8880
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 6401017044 MI Primary

Addresses

Primary practice location

5730 Bella Rosa Blvd
Clarkston, MI 48348-4778

Mailing address

5730 Bella Rosa Blvd
Clarkston, MI 48348-4778

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
I20250214002189 MI Practitioner - Mental Health Counselor 2668902966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Point of Hope Counseling Services PCGroup PAC ID 7012333545, 7 clinicians

Practice addresses (Care Compare)

10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017044MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Point of Hope Counseling Services PC CurrentSince Dec 12, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1326624552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484778",
            "telephone_number": "215-581-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCHINA",
        "first_name": "CHRISTINA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.