Trevor James Chamberlin, LLPC
Individual provider Active NPI Mental Health Counselor · Mason, MI
NPI 1730810169 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1730810169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6451022343 (MI)
- Practice address
- 2950 W Howell Rd
Mason, MI 48854-9329 - Phone
- (517) 367-0670
- Fax
- (517) 367-0681
- NPI assigned
- Jun 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20250722000459 | MI | Practitioner - Mental Health Counselor | 7911413455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022343 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT Institute of Mi | Current |
Accepting new patients | |
| DBT Institute of Mi | Mental Health | Current |
Accepting new patients |
Locations
2950 W Howell Rd
Mason, MI 48854
Phone (517) 367-0670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451022343 | MI | Yes |
Addresses
Primary practice location
2950 W Howell Rd
Mason, MI 48854-9329
Mailing address
2950 W Howell Rd
Mason, MI 48854-9329
Phone (517) 367-0670
Other providers in Mason, MI
- Christina Cattivera
- Cedar Street Family Medicine PC
- Jonathon Cejmer
- Lizette Chacon
- Chalcedony Wellness Services LLC
- Stephanie Lee Chapman
- Adam Joe Manley Charchan
- Jennifer R Chissus
- Kara Lynn Christy
- Sin Chu
All providers in Mason, MI · Mental Health 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 Jun 17, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.