Nancy Bogdan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401002067 Issued in MI

Practice address

4250 Woodward Ave
Detroit, MI 48201-1818

Phone

(313) 833-8100

Fax

(313) 833-3393

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Gesher Human Services

  • Adult Mental Health Clinic/Center
  • Southfield, MI
  • NPI 1043344385
  NPD (past) Authorized official
• Gesher Human Services

  • Adult Mental Health Clinic/Center
  • Detroit, MI
  • NPI 1477638435
  NPD (past) Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1669873808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011818",
            "telephone_number": "313-833-8100",
            "fax_number": "313-833-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011818",
            "telephone_number": "313-833-8100",
            "fax_number": "313-833-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "NANCY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Boertman, PAC
• Stormmy Reigh Boettcher, PHARMD
• Andrew Boeve
• Elias Sileshi Bogale, MD
• Brittany Bogan, MD
• Cassandra Boggon
• Kamera Sakeena Boggon, AGNP -C
• Jamie Boggs, MD
• Relaina Denise Bogins, LBSW, MSW,CAADC
• Rhiannon Marie-Heckel Boguszewicz, NP

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.