Individual provider Active NPI

Brian Patrick Dykes, L.P.C.

  • Professional Counselor
  • Grant, MI
National Provider Identifier
1356771190
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005804 Issued in MI
Practice address
11 N Maple St
Grant, MI 49327-7900
Phone
(231) 834-0444
Fax
(231) 834-0200
NPI assigned
Nov 14, 2013
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 6401005804 MI Primary

Addresses

Primary practice location

11 N Maple St
Grant, MI 49327-7900

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Other practice location 1

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-4624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.dykes.p1@direct.nextgenshare.com

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
I20231214003746 MI Practitioner - Mental Health Counselor 9931558947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Western Michigan Un Homer Stryker School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health CareGroup PAC ID 1153215413, 35 clinicians

Practice addresses (Care Compare)

11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401005804MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Jan 1, 2024 Accepting new patients
Baldwin Family Health Care CurrentSince Jan 1, 2024 Accepting new patients
Baldwin Family Health Care Current Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

Interoperability endpoints

  • Direct secure messaging: brian.dykes.p1@direct.bfhc.nextgenshare.com
  • Direct secure messaging: brian.dykes.p1@direct.nextgenshare.com

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, 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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1356771190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493277900",
            "telephone_number": "231-834-0444",
            "fax_number": "231-834-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "MI",
            "postal_code": "493047984",
            "country_code": "US",
            "telephone_number": "231-745-4624",
            "fax_number": "231-745-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKES",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.dykes.p1@direct.nextgenshare.com",
            "affiliation": "N",
            "address_1": "11 N Maple St",
            "city": "Grant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493277900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grant, MI

Sources for this page

Verify at the official NPI Registry.