Michael Mudgett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009279 Issued in MI

Practice address

3800 Heritage Ave Ste A2
Okemos, MI 48864-2871

Phone

(616) 238-6206

NPI assigned

Dec 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MI, Professional

  Medicare reassignment NPD
• Jonathan M. Blair PHD, PLLC

  • Psychologist
  • Lansing, MI
  • NPI 1154764827
  NPD (past)
• Oakland Psychological Clinic, P.C.

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1538810080
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1497186381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 OKEMOS RD",
            "address_2": "STE 14",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642818",
            "telephone_number": "616-238-6206",
            "fax_number": "517-347-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HERITAGE AVE STE A2",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642871",
            "telephone_number": "616-238-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGETT",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Moulden
• Annalissa Mourad, BIRTH DOULA
• Moving Beyond Limitations LLC
• Madison Mrakitsch
• Msu Health Care Inc
• Majid M. Mughal, MD
• Misha Mughal
• Mecca Muhammad
• Moushumi Mukherjee, RDN
• Emilee Mulder

• Professional Counselor in Okemos, MI
• Providers in Okemos, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.