Individual provider Active NPI

Matthew Springberg, LPC

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1679110027
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222904 Issued in MI
Practice address
1010 S Garfield Ave
Traverse City, MI 49686-3434
Phone
(231) 346-5223
NPI assigned
Dec 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 6401222904 MI Primary

Addresses

Primary practice location

1010 S Garfield Ave
Traverse City, MI 49686-3434

Mailing address

1010 S Garfield Ave
Traverse City, MI 49686-3434
Phone (231) 343-5223

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
I20241119003414 MI Practitioner - Mental Health Counselor 7113452707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401222904MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Lantern Counseling LLC Current Accepting new patients
Addiction Treatment Services, Inc Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1010 S Garfield Ave
Traverse City, MI 49686
Phone (231) 346-5216

940 E Eighth St
Traverse City, MI 49686
Phone (231) 922-4810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1679110027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863434",
            "telephone_number": "231-343-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863434",
            "telephone_number": "231-346-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGBERG",
        "first_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.