Active NPI
Susan Camille Muinch, MA, LPC
- Professional Counselor
- Portage, MI
National Provider Identifier
1629263140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401010459
- Practice address
- 650 Trade Centre Way Ste 140
Portage, MI 49002-0411 - Phone
- (517) 882-3732
- Fax
- (517) 882-3633
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010459 | MI | Primary |
Addresses
Primary practice location
650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Mailing address
650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Phone (517) 882-3732
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
650 Trade Centre Way
Suite 140
Portage, MI 49002-0411
Phone (517) 882-3732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Professional | Current | Accepting new patients |
| Downriver Mental Health Clinic PC | Mental Health | Current | Accepting new patients |
Locations
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
650 Trade Centre Way
Ste 140
Portage, MI 49002
Phone (269) 492-6636
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1629263140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 TRADE CENTRE WAY STE 140",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020411",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 TRADE CENTRE WAY STE 140",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020411",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUINCH",
"first_name": "SUSAN",
"middle_name": "CAMILLE",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.