Alana M Brayboy, LPC
Individual provider Active NPI Mental Health Counselor · Mount Clemens, MI
NPI 1376824359 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1376824359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401222958 (MI)
- Practice address
- 100 NB Gratiot Ave
Mount Clemens, MI 48043-2301 - Phone
- (586) 783-2950
- Fax
- (586) 690-4333
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Renewal Christian Counseling Inc
County of Macomb
Practice addresses (Care Compare)
100 Northbound Gratiot Ave
Suite a
Mount Clemens, MI 48043-2339
Phone (586) 783-2950
19800 Hall Rd
Clinton Township, MI 48038-5318
Phone (586) 469-5794
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204000223 | MI | Practitioner - Mental Health Counselor | 5092163956 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | Current |
Accepting new patients | |
| Renewal Christian Counseling Inc | Mental Health | Current |
Accepting new patients |
| County of Macomb | Current |
Accepting new patients | |
| Renewal Christian Counseling Inc | Mental Health | Past | Accepting new patients |
Locations
19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804
100 Northbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 783-2950
100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950
25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401222958 | MI | Yes |
Addresses
Primary practice location
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Mailing address
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950
Other providers in Mount Clemens, MI
- Dabreenda Boyd
- Scott James Boyink
- Allison Jane Boylan
- Mary Beth Braithwaite
- Chris Arthur Branch
- Break Thru Medical LLC
- Brianne C Waggoner DO PC
- Alexis M Briggins
- Carol Ann Brinich
- Callaham Alexander Brock
All providers in Mount Clemens, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.