Organization Active NPI

Macrobiotic Ed Counseling & Psycho

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1730693060
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005658 Issued in MI
Legal business name
MACROBIOTIC ED COUNSELING & PSYCHO
Practice address
164 Kingsbrook Ave
Ann Arbor, MI 48103-6603
Phone
(586) 944-8741
Fax
(586) 944-2234
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Ms. Bonnie Ayer Breidenbach, MALLP, LPCNPI 1275558264
Title
Owner/Therapist
Phone
(586) 944-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401005658 MI Primary

Addresses

Primary practice location

164 Kingsbrook Ave
Ann Arbor, MI 48103-6603

Mailing address

164 Kingsbrook Ave
Ann Arbor, MI 48103-6603
Phone (586) 944-8741

National Provider Directory

National Provider Directory

Locations

31936 Harper Ave
Saint Clair Shores, MI 48082

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1730693060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 KINGSBROOK AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036603",
            "telephone_number": "586-944-8741",
            "fax_number": "586-944-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 KINGSBROOK AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036603",
            "telephone_number": "586-944-8741",
            "fax_number": "586-944-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACROBIOTIC ED COUNSELING & PSYCHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BREIDENBACH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "AYER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "586-944-8741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MALLP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.