Individual provider Active NPI

Michael McKiddy, MA, LPC

  • Mental Health Counselor
  • Troy, MI
National Provider Identifier
1639952435
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223662 Issued in MI
Practice address
990 E South Blvd Ste 250
Troy, MI 48085-1400
Phone
(947) 222-5429
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223662 MI Primary

Addresses

Primary practice location

990 E South Blvd Ste 250
Troy, MI 48085-1400

Mailing address

990 E South Blvd Ste 250
Troy, MI 48085-1400
Phone (947) 222-5429

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128000924 MI Practitioner - Mental Health Counselor 7911485313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

990 E S Blvd
Troy, MI 48085-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401223662MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Sky Counseling, PLLC Mental Health CurrentSince Dec 16, 2025 Accepting new patients

Locations

990 E South Blvd
Ste 250
Troy, MI 48085
Phone (947) 222-5429

Organizations & group practices 1

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1639952435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 E SOUTH BLVD STE 250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851400",
            "telephone_number": "947-222-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 E SOUTH BLVD STE 250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851400",
            "telephone_number": "947-222-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIDDY",
        "first_name": "MICHAEL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.