Individual provider Active NPI

Thomas Stock, MA LLPC

  • Professional Counselor
  • Mt Pleasant, MI
National Provider Identifier
1558813758
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018089 Issued in CO
Practice address
4273 Corporate Dr
Mount Pleasant, MI 48858-5321
Phone
(989) 953-4357
NPI assigned
Nov 4, 2016
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015091 MI
Professional Counselor 101YP2500X LPC.0018089 CO Primary

Addresses

Primary practice location

4273 Corporate Dr
Mount Pleasant, MI 48858-5321

Mailing address

4273 Corporate Dr
Mount Pleasant, MI 48858-5321
Phone (989) 953-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231228003914 CO Practitioner - Mental Health Counselor 7214310291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

960 E Harvard Ave
1St Floor Mason Hall
Denver, CO 80210-7008
Phone (303) 778-5774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401015091MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Michigan Therapeutic Consultants PC PastSince Sep 15, 2018 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
BHG Lxxxiii, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

2525 S Downing St
#1S
Denver, CO 80210
Phone (303) 765-6969

960 E Harvard Ave
Fl 1
Denver, CO 80210
Phone (303) 778-5774

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Organizations & group practices 6

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1558813758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "THOMAS",
        "credential": "MA LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015091",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.