Bernadine A. Pickett, M.A., L.P.C, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401012495 Issued in MI

Practice address

11111 Hall Rd
Suite 201
Utica, MI 48317-5711

Phone

(248) 752-4881

NPI assigned

Jun 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Bernadine Pickett, PLLC

  • Mental Health Counselor
  • Rochester Hills, MI
  • NPI 1457824328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1366737470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 HALL RD",
            "address_2": "SUITE 201",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175711",
            "telephone_number": "248-752-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD",
            "address_2": "SUITE 201",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175711",
            "telephone_number": "248-752-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "BERNADINE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.P.C, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Paraskevin, M.A., L.L.P.C., NCC
• Michael Shane Patterson, D.O.
• Stephen P Perry, MD
• Rachel Pfeifer, PTA
• Phoenix Physical Therapy Inc
• Rhyzianne Pimental
• Polanski Quinn and Associates PLLC
• Rebecca Polanski, MA, TLLP
• Jake Pradko, LPC
• Proactive Mental Health Services, LLC

• Counselor in Utica, MI
• Providers in Utica, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.