Individual provider Active NPI

Amy Perschbacher

  • Mental Health Counselor
  • Mt Pleasant, MI
National Provider Identifier
1861944464
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015318 Issued in MI
Practice address
201 S University Ave
Mount Pleasant, MI 48858-2527
Phone
(989) 779-8999
Fax
(989) 779-2219
NPI assigned
Oct 29, 2016
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 6401015318 MI Primary

Addresses

Primary practice location

201 S University Ave
Mount Pleasant, MI 48858-2527

Mailing address

1739 Stockman Rd
Mount Pleasant, MI 48858-4218
Phone (989) 773-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000263 MI Practitioner - Mental Health Counselor 3870845852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronan Psychological Associates, LLCGroup PAC ID 6901277557, 7 clinicians

Practice addresses (Care Compare)

411 W Broadway St
Mt Pleasant, MI 48858-2444
Phone (989) 779-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015318MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychotherapy of Central Michigan Mental Health CurrentSince Aug 7, 2022 Accepting new patients
Ronan Psychological Associates, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

201 S University Ave
Mt Pleasant, MI 48858
Phone (989) 572-0246

411 W Broadway St
Mt Pleasant, MI 48858
Phone (989) 772-9523

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1861944464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 STOCKMAN RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584218",
            "telephone_number": "989-773-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S UNIVERSITY AVE",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582527",
            "telephone_number": "989-779-8999",
            "fax_number": "989-779-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSCHBACHER",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.