Amy Converse
Individual provider Active NPI Counselor · Mount Morris, MI
NPI 1790433985 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1790433985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 731 E Mount Morris St Ste 6
Mount Morris, MI 48458-2070 - Phone
- (810) 547-1472
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maple Leaf Counseling Services LLC
Practice addresses (Care Compare)
33 White Tail Creek Rd
Suite 2
Saginaw, MI 48638-5896
Phone (989) 220-3060
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 |
|---|---|---|---|---|
| I20250714003142 | MI | Practitioner - Mental Health Counselor | 7113432683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Leaf Counseling Services LLC | Counselor | Current |
Accepting new patients |
Locations
5406 Gateway Ctr
Ste E
Grand Blanc, MI 48507
Phone (586) 219-1924
33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
731 E Mount Morris St Ste 6
Mount Morris, MI 48458-2070
Mailing address
731 E Mount Morris St Ste 6
Mount Morris, MI 48458-2070
Phone (810) 547-1472
Other providers in Mount Morris, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.