Andrea J Bontrager, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801101746 Issued in MI

Practice address

109 N 3Rd St
Niles, MI 49120-2655

Phone

(269) 683-8972

Fax

(269) 683-0449

NPI assigned

Aug 31, 2011

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

University of Colorado School of Medicine, Denver, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Andrea Bontrager Counseling, LLC

  • Clinical Social Worker
  • Goshen, IN
  • NPI 1972322402
  Medicare reassignment NPD Authorized official
• Andrea Bontrager Counseling LLC

  • Clinical Social Worker
  • Saint Joseph, MI
  • NPI 1811816788
  NPD Authorized official
• Marc Thomas Milhander, PH.D.

  • Clinical Psychologist
  • Niles, MI
  • NPI 1316146145
  Medicare reassignment
• Haelan Counseling Center

  • Clinical Psychologist
  • Niles, MI
  • NPI 1033343843
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801177134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202655",
            "telephone_number": "269-683-8972",
            "fax_number": "269-683-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202655",
            "telephone_number": "269-683-8972",
            "fax_number": "269-683-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTRAGER",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Denise Binns, RDH
• Blessed Home Afc Services, LLC
• Sandra Sloane Blix, CRNA
• Danisha Blythe
• Alexis Bock
• Mendy Boocher, OTR
• Sharon Diane Bouhaja, NP
• Laurel Christine Bourgeois, MSSA LISW-S,LCSW
• Michele K Bowen, LMSW
• Andrea Bowmar, O.D.

• Clinical Social Worker in Niles, MI
• Providers in Niles, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.