Individual provider Active NPI

Brian D Rendel, M.A.

  • Professional Counselor
  • Houghton, MI
National Provider Identifier
1669511978
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401003795 Issued in MI
Practice address
609 Shelden Ave
Houghton, MI 49931-1835
Phone
(906) 482-9077
Fax
(906) 482-2502
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301008918 MI
Professional Counselor 101YP2500X 6401003795 MI Primary

Addresses

Primary practice location

609 Shelden Ave
Houghton, MI 49931-1835

Mailing address

609 Shelden Ave
Houghton, MI 49931-1835
Phone (906) 482-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401003795MIMDProfessional Counselor
6301008918MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dial Help, Inc. CurrentSince Mar 12, 2023 Accepting new patients

Locations

609 Shelden Ave
Houghton, MI 49931
Phone (906) 482-9077

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1669511978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SHELDEN AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311835",
            "telephone_number": "906-482-9077",
            "fax_number": "906-482-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SHELDEN AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311835",
            "telephone_number": "906-482-9077",
            "fax_number": "906-482-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDEL",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.