Machelle Dia Vietz, LLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006450 Issued in MI

Practice address

304 W Michigan Ave
Paw Paw, MI 49079-1012

Phone

(269) 998-4388

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Counseling Services

  • Community/Behavioral Health Agency
  • Paw Paw, MI
  • NPI 1417257189
  NPD (past) Authorized official

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1760701957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68155 26TH ST",
            "city": "LAWTON",
            "state": "MI",
            "postal_code": "490659615",
            "telephone_number": "269-998-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791012",
            "telephone_number": "269-998-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETZ",
        "first_name": "MACHELLE",
        "middle_name": "DIA",
        "name_prefix": "Mrs.",
        "credential": "LLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Vandyk, NP
• Jason Vanlester, M.A,
• Danielle Avery Vaughn
• Vbems, Inc
• Michael Jon Versalle, R.N.
• Barbara Ann Villanueva
• Angela Marie Wade, RN
• Jody Waite
• Wal-Mart Stores East LP
• Walgreen Co

• Marriage & Family Therapist in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.