Individual provider Active NPI

Bridget Lynn Marchese, MA, TLLP, LPC, NCC

  • Counselor
  • Hudsonville, MI
National Provider Identifier
1447809439
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401019837 Issued in MI
Practice address
6934 Arbor Heights Dr
Hudsonville, MI 49426-9261
Phone
(906) 450-2288
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6362001151 MI
Counselor 101Y00000X 6401019837 MI Primary

Addresses

Primary practice location

6934 Arbor Heights Dr
Hudsonville, MI 49426-9261

Mailing address

6934 Arbor Heights Dr
Hudsonville, MI 49426-9261
Phone (906) 450-2288

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
I20231121002656 MI Practitioner - Mental Health Counselor 6800244377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6362001151MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Life Journey PLLC Psychologist PastSince Sep 1, 2019 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

1845 Rw Berends Dr SW
Wyoming, MI 49519
Phone (616) 259-5136

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1447809439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 ARBOR HEIGHTS DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269261",
            "telephone_number": "906-450-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 ARBOR HEIGHTS DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269261",
            "telephone_number": "906-450-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "BRIDGET",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MA, TLLP, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362001151",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.