Individual provider Active NPI

Bryan Pogodzinski, LLPC

  • Mental Health Counselor
  • Allegan, MI
National Provider Identifier
1780005702
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014038 Issued in MI
Practice address
241 Hubbard St
Allegan, MI 49010-1320
Phone
(269) 509-7533
Fax
(888) 798-0715
NPI assigned
Dec 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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 6401014038 MI Primary

Addresses

Primary practice location

241 Hubbard St
Allegan, MI 49010-1320

Mailing address

241 Hubbard St
Allegan, MI 49010-1320
Phone (269) 509-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401014038MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Counseling Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1780005702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HUBBARD ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101320",
            "telephone_number": "269-509-7533",
            "fax_number": "888-798-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 HUBBARD ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101320",
            "telephone_number": "269-509-7533",
            "fax_number": "888-798-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGODZINSKI",
        "first_name": "BRYAN",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.