Individual provider Active NPI

Eric Nordquist, MA, LPC, NCC

  • Professional Counselor
  • Troy, MI
National Provider Identifier
1669565727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401006020 Issued in MI
Practice address
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Phone
(248) 244-8644
Fax
(248) 244-1330
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401006020 MI Primary

Addresses

Primary practice location

888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762

Mailing address

1349 S Vassar Rd
Davison, MI 48423-2371
Phone (248) 244-8644

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
I20231228002775 MI Practitioner - Mental Health Counselor 7618327990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

888 W Big Beaver Rd
Suite 1450
Troy, MI 48084-4762
Phone (248) 244-8644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401006020MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 7, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 7, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

23965 Novi Rd
Ste 130
Novi, MI 48375
Phone (248) 946-4664

888 W Big Beaver Rd
Ste 1450
Troy, MI 48084
Phone 2482448644 ext. 124

Interoperability endpoints

  • Direct secure messaging: eric.nordquist.1@28621.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669565727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S VASSAR RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232371",
            "telephone_number": "248-244-8644",
            "fax_number": "248-244-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 1450",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844762",
            "telephone_number": "248-244-8644",
            "fax_number": "248-244-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDQUIST",
        "first_name": "ERIC",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.