Philip Anthony Himebaugh, M.S., ED.S., LLPC

Individual provider Active NPI Mental Health Counselor · White Cloud, MI

NPI 1841662525 · NPPES record last updated Oct 21, 2015

Key facts

NPI
1841662525
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6401015072 (MI)
Practice address
1049 E Newell St
White Cloud, MI 49349-8795
Phone
(517) 755-9999
NPI assigned
Oct 21, 2015
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6401015072MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling and Wellness, PLLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015072 MI Yes

Addresses

Primary practice location

1049 E Newell St
White Cloud, MI 49349-8795

Mailing address

1049 E Newell St
White Cloud, MI 49349-8795
Phone (517) 755-9999

Other providers in White Cloud, MI

All providers in White Cloud, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.