Thomas Klein
Individual provider Active NPI Counselor · Bath, MI
NPI 1730537036 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1730537036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401017204 (MI)
- Practice address
- 6127 Sleight Rd
Bath, MI 48808-9486 - Phone
- (810) 247-8118
- NPI assigned
- May 26, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richard Kneip PHD PC
Practice addresses (Care Compare)
6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916
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 |
|---|---|---|---|---|
| I20260307000456 | MI | Practitioner - Mental Health Counselor | 3072095058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015758 | MI | MD | Counselor |
| 6401017204 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current |
Accepting new patients | |
| Next Generation Counseling PLLC | Counselor | Current |
Accepting new patients |
Locations
6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739
8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (248) 605-3525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401017204 | MI | Yes |
| Professional Counselor | 101YP2500X | 6401015758 | MI | |
| Counselor | 101Y00000X | 6401015758 | MI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6401015758 | MI | |
| Mental Health Counselor | 101YM0800X | 6401015758 | MI |
Addresses
Primary practice location
6127 Sleight Rd
Bath, MI 48808-9486
Mailing address
6127 Sleight Rd
Bath, MI 48808-9486
Other providers in Bath, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. 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.