Active NPI
Patrick Thomas Byrnes, LLPC
- Professional Counselor
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401018296
- Practice address
- 1030 Miners Rd
Saint Joseph, MI 49085-9625 - Phone
- (269) 408-1688
- NPI assigned
- Sep 22, 2017
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180012756 | IL | |
| Professional Counselor | 101YP2500X | 6401016213 | MI | |
| Professional Counselor | 101YP2500X | 6401018296 | MI | Primary |
Addresses
Primary practice location
1030 Miners Rd
Saint Joseph, MI 49085-9625
Mailing address
1030 Miners Rd
Saint Joseph, MI 49085-9625
Phone (269) 408-1688
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Main St
Suite a
Saint Joseph, MI 49085-3100
Phone (269) 408-1688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012756 | IL | MD | Professional Counselor |
| 6401016213 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric and Psychological Specialties | Current | Accepting new patients | |
| Psychiatric Specialties, PLC | Current | Accepting new patients |
Locations
30 N Michigan Ave
Ste 1302
Chicago, IL 60602
Phone (312) 501-5530
1030 Miners Rd
Saint Joseph, MI 49085
Phone (269) 408-1688
415 Main St
Saint Joseph, MI 49085
415 Main St
Ste A
Saint Joseph, MI 49085
Phone (269) 408-1688
Interoperability endpoints
- https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4
- patrick.byrnes.1@27120.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Saint Joseph, MI
- NPI 1841321072
-
- Clinical Psychologist
- Saint Joseph, MI
- NPI 1548672728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1376052290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 MINERS RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859625",
"telephone_number": "269-408-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 MINERS RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859625",
"telephone_number": "269-408-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNES",
"first_name": "PATRICK",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-22",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012756",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016213",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401018296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.