Individual provider Active NPI

Yvonne P Makidon, LMSW, LMFT, CAADC

  • Mental Health Counselor
  • Grand Blanc, MI
National Provider Identifier
1720204183
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801085260 Issued in MI
Practice address
8240 Embury Rd
Suite a
Grand Blanc, MI 48439-7113
Phone
(810) 659-7242
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801085260 MI Primary

Addresses

Primary practice location

8240 Embury Rd
Suite a
Grand Blanc, MI 48439-7113

Mailing address

8240 Embury Rd
Suite a
Grand Blanc, MI 48439-7113
Phone (810) 659-7242

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
I20100225000017 MI Practitioner - Clinical Social Worker 2567506868 Reassigns benefits to 1 organization
Practice locations: Grand Blanc, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8240 Embury Rd a
Grand Blanc, MI 48439-7113
Phone (810) 659-7242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085260MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne Makidon PLLC CurrentSince Sep 22, 2020 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties Mental Health PastSince Aug 17, 2016 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties Mental Health Past Accepting new patients

Locations

8240 Embury Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 659-7242

Organizations & group practices 4

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1720204183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 EMBURY RD",
            "address_2": "SUITE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397113",
            "telephone_number": "810-659-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 EMBURY RD",
            "address_2": "SUITE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397113",
            "telephone_number": "810-659-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIDON",
        "first_name": "YVONNE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "LMSW, LMFT, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801085260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.