Masterpeace Center for Counseling & Development
Organization Active NPI Psychologist · Tecumseh, MI
NPI 1780899286 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1780899286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- MASTERPEACE CENTER FOR COUNSELING & DEVELOPMENT
- Practice address
- 308 S Maumee St
Tecumseh, MI 49286-2033 - Phone
- (517) 423-6889
- Fax
- (517) 423-6890
- NPI assigned
- May 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Stephen May, LPC
- Title
- Administrative Director
- Phone
- (517) 423-6889
Corporate family (same tax ID) 1
Practitioners 14
-
Stephen May, LPC
-
Thomas Richard Branton, LMSW
-
Diane Beth Vanloocke, LMSW ACSW
-
Rhonie Black, LCSW
-
Deborah A Culik, LMSW
-
Le Ann Porter, LLPC
-
Joanna Bielenin, PH. D.
-
Harold Stephen Bilotta Jr., MS LLP
-
Patricia J Evans, MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040124000182 | MI | Part B Supplier - Clinic/Group Practice | 4981506409 |
Receives reassigned benefits from 8 practitioners Practice locations: Tecumseh, MI |
National Provider Directory
- Tax ID family
- Masterpeace Center for Counseling and Development
Locations
308 S Maumee St
Tecumseh, MI 49286
Phone (517) 423-6889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
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
- Masterpeace Counseling
Other providers in Tecumseh, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.