GLV Innovations
Organization Active NPI Counselor · Gregory, MI
NPI 1457743635 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1457743635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- GLV INNOVATIONS
- Practice address
- 5576 Weller Rd
Gregory, MI 48137-9524 - Phone
- (517) 285-8707
- NPI assigned
- Feb 25, 2015
- Organization subpart
- No
Authorized official
- Name
- Mary Beth Houpt
- Title
- Credentialing
- Phone
- (517) 676-9797
Practitioners 1
-
Gail Vanamberg, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240223003523 | MI | Part B Supplier - Clinic/Group Practice | 2163867607 |
Receives reassigned benefits from 1 practitioner Practice locations: Gregory, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Professional Counselor |
101YP2500X | 6401000296 | MI |
Addresses
Primary practice location
5576 Weller Rd
Gregory, MI 48137-9524
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788
Other providers in Gregory, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.