Individual provider Active NPI

Mary J Thompson-Rottier, LPC

  • Mental Health Counselor
  • Fremont, MI
National Provider Identifier
1841310489
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
106 S Stewart Ave
Fremont, MI 49412-1624
Phone
(231) 923-8568
Fax
(231) 722-3018
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 Primary

Addresses

Primary practice location

106 S Stewart Ave
Fremont, MI 49412-1624

Mailing address

106 S Stewart Ave
Fremont, MI 49412-1624
Phone (231) 923-8568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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

Enrollment IDStateProvider typePAC IDDetails
I20240402000717 GA Practitioner - Mental Health Counselor 5092129791 Reassigns benefits to 1 organization
I20260526003477 MI Practitioner - Mental Health Counselor 5092129791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 S Stewart Ave
Fremont, MI 49412-1624
Phone (231) 923-8568

326 Myrtle Crossing Dr
Suite 100
Statesboro, GA 30458-4689
Phone (912) 764-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pawsitive Counseling Center PC CurrentSince Mar 14, 2024 Accepting new patients

Locations

326 Myrtle Crossing Dr
Ste 100
Statesboro, GA 30458
Phone (912) 454-2862

106 S Stewart Ave
Fremont, MI 49412
Phone (231) 335-1718

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1841310489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121624",
            "telephone_number": "231-923-8568",
            "fax_number": "231-722-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121624",
            "telephone_number": "231-923-8568",
            "fax_number": "231-722-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-ROTTIER",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

Verify at the official NPI Registry.