Active NPI
Tina Louise Bacigalupo, LPC
- Professional Counselor
- Bay City, MI
National Provider Identifier
1396571741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401223811
- Practice address
- 1911 E Salzburg Rd
Bay City, MI 48706-9782 - Phone
- (989) 225-0338
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401223811 | MI | Primary |
Addresses
Primary practice location
1911 E Salzburg Rd
Bay City, MI 48706-9782
Mailing address
1911 E Salzburg Rd
Bay City, MI 48706-9782
Phone (989) 225-0338
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, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Front St
Suite 300
Jupiter, FL 33477-5095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401223811 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1396571741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 E SALZBURG RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069782",
"telephone_number": "989-225-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 E SALZBURG RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069782",
"telephone_number": "989-225-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACIGALUPO",
"first_name": "TINA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401223811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.