Stephen Nachtegall, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014451 Issued in MI

Practice address

624 W Nepessing St Ste 300
Lapeer, MI 48446-2089

Phone

(248) 731-7305

Fax

(248) 731-7388

NPI assigned

Oct 25, 2014

Last updated

Dec 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kindmind Behavioral HealthGroup PAC ID 3476922006, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kindmind Behavioral Health

  dba Triad Associates

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1730897711
  Medicare reassignment Care Compare group NPD
• Kindmind Psychiatric Health

  • Psychiatry Physician
  • Clarkston, MI
  • NPI 1093409666
  NPD (past)

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1568867133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TEXAS AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091572",
            "telephone_number": "248-515-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST STE 300",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462089",
            "telephone_number": "248-731-7305",
            "fax_number": "248-731-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844733",
            "country_code": "US",
            "telephone_number": "248-731-7305",
            "fax_number": "248-731-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHTEGALL",
        "first_name": "STEPHEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-25",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014451",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6401014451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Murphy, DDS
• Karen K Musgrove-Zayas
• Nathaniel Paul Mutch, D.D.S.
• Peter Michael Mutch, DDS
• Kyllie Myers, LMT
• Madelynn Nagy
• Rebecca Jean Nagy, R.N.
• Nalo Therapy Center
• Nathaniel P Mutch DDS, PLLC
• Nathaniel P Mutch DDS, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.