Individual provider Active NPI

Diane L. Bedford, MA-LLPC

  • Mental Health Counselor
  • Midland, MI
National Provider Identifier
1447381850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401009187 Issued in MI
Practice address
1714 Eastman Ave
Midland, MI 48640-4216
Phone
(989) 631-5390
Fax
(989) 631-0488
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401009187 MI Primary

Addresses

Primary practice location

1714 Eastman Ave
Midland, MI 48640-4216

Mailing address

3805 Devonshire St
Midland, MI 48642-4918
Phone (989) 513-5313

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
I20240105002900 MI Practitioner - Mental Health Counselor 3870944606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

720 W Wackerly St
Suite 11
Midland, MI 48640-2769
Phone (989) 832-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009187MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Change: Psychological & Community Services, PLC CurrentSince Jan 1, 2024 Accepting new patients
Family & Childrens Services Mid-Michigan FCSM Mental Health PastSince Sep 4, 2022 Accepting new patients

Locations

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447381850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 DEVONSHIRE ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486424918",
            "telephone_number": "989-513-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390",
            "fax_number": "989-631-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "DIANE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MA-LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.