NPIMap

Organization Active NPI

Masterpeace Center for Counseling & Development

Doing business as Masterpeace Counseling

  • Psychologist
  • Tecumseh, MI
National Provider Identifier
1780899286
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MASTERPEACE CENTER FOR COUNSELING & DEVELOPMENT
Doing business as
Masterpeace Counseling
Practice address
308 S Maumee St
Tecumseh, MI 49286-2033
Phone
(517) 423-6889
Fax
(517) 423-6890
NPI assigned
May 10, 2007
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Stephen May, LPCNPI 1023465614
Title
Administrative Director
Phone
(517) 423-6889

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
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

308 S Maumee St
Tecumseh, MI 49286-2033

Mailing address

308 S Maumee St
Tecumseh, MI 49286-2033
Phone (517) 423-6889

Other names 1

  • Masterpeace Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040124000182 MI Part B Supplier - Clinic/Group Practice 4981506409 Receives reassigned benefits from 8 practitioners
Practice locations: Tecumseh, MI

National Provider Directory

National Provider Directory
Tax ID family
Masterpeace Center for Counseling and Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

308 S Maumee St
Tecumseh, MI 49286
Phone (517) 423-6889

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1780899286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862033",
            "telephone_number": "517-423-6889",
            "fax_number": "517-423-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAUMEE ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862033",
            "telephone_number": "517-423-6889",
            "fax_number": "517-423-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPEACE CENTER FOR COUNSELING & DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "517-423-6889",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masterpeace Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Masterpeace Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.