Kumbirai Kambasha
Individual provider Active NPI Professional Counselor · Lansing, MI
NPI 1710644752 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1710644752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6451021949 (MI)
- Practice address
- 2708 Senate Dr Apt B101
Lansing, MI 48912-4482 - Phone
- (517) 927-3452
- NPI assigned
- Nov 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8448 Paradise TRL
Carp Lake, MI 49718-9708
Phone (517) 927-3452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116002729 | MI | Practitioner - Mental Health Counselor | 7618329582 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451021949 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chosen & Anointed Wellness Center | Professional | Current |
Accepting new patients |
| A New Day Counseling Consulting and Community Services | Counselor | Current |
Accepting new patients |
Locations
6496 Paradise Trl
Carp Lake, MI 49718
4710 W Saginaw Hwy
Ste 1
Lansing, MI 48917
Phone (517) 816-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451021949 | MI | |
| Professional Counselor | 101YP2500X | 6451021949 | MI | Yes |
Addresses
Primary practice location
2708 Senate Dr Apt B101
Lansing, MI 48912-4482
Mailing address
2708 Senate Dr Apt B101
Lansing, MI 48912-4482
Phone (517) 927-3452
Other providers in Lansing, MI
- Jyothika Kalatturu
- Suzanne Kalchik
- Nancy K Kalder-Campbell Sr.
- Kamyab Kamali
- Allyssa Kambasha
- Amira Sneha Kamboj
- Krishna Kandagatla
- Abbas Ali Kang
- Zahra Shabir Kang
- Mohammad Khalil Kanjwal
All providers in Lansing, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.