Individual provider Active NPI

Nasreen Paytas, LLPC

  • Professional Counselor
  • Mt Pleasant, MI
National Provider Identifier
1467996900
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
215 W Broadway St
Mt Pleasant, MI 48858-2502
Phone
(896) 009-9990
NPI assigned
Dec 16, 2016
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Social Worker 104100000X 6401014462 MI

Addresses

Primary practice location

215 W Broadway St
Mt Pleasant, MI 48858-2502

Mailing address

1800 Lawrence Dr
Midland, MI 48640-6751

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
I20240214001684 MI Practitioner - Mental Health Counselor 8729431028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 W Broadway St
Mt Pleasant, MI 48858-2502
Phone (810) 412-8489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014462MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sightlines Professional Counseling PLLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

2707 Ashman St
Ste 103
Midland, MI 48640
Phone (810) 412-8489

215 W Broadway St
Mt Pleasant, MI 48858
Phone (810) 412-8489

Organizations & group practices 1

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": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1467996900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LAWRENCE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582502",
            "telephone_number": "896-009-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTAS",
        "first_name": "NASREEN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6401014462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.