Michael Govan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401000196 Issued in MI

Practice address

2888 E Long Lake Rd
Suite 170
Troy, MI 48085-3793

Phone

(248) 524-0050

Fax

(248) 524-0146

NPI assigned

May 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reflections Counseling Center

  • Community/Behavioral Health Agency
  • Troy, MI
  • NPI 1679606859
  NPD (past) Authorized official

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1619323953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "address_2": "SUITE 170",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "248-524-0050",
            "fax_number": "248-524-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "address_2": "SUITE 170",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "248-524-0050",
            "fax_number": "248-524-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6301007553",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Gott
• Jordan Gougeon
• Beverly Gough, MA CCC SLP
• Amanda Morgan Goulet
• Ann Gourlay
• Reshma M Gowda, DDS
• Jenna Marie Gower
• Jillian Irene Grabowski
• Rachel Gracz, PT, DPT
• Sarah Gradison

• Mental Health Counselor in Troy, MI
• Providers in Troy, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.