Active NPI
Marypat Bagrosky, M.A.
- Professional Counselor
- Midland, MI
National Provider Identifier
1871644567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401006152
- Practice address
- 301 W Main St
42ND Circuit CT. Juvenile Court
Midland, MI 48640-5162 - Phone
- (989) 832-6855
- Fax
- (989) 832-6607
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401006152 | MI | Primary |
Addresses
Primary practice location
301 W Main St
42ND Circuit CT. Juvenile Court
Midland, MI 48640-5162
Mailing address
4901 W Wackerly St
Midland, MI 48640-2190
Phone (989) 631-5579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401006152 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871644567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402190",
"telephone_number": "989-631-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MAIN ST",
"address_2": "42ND CIRCUIT CT. JUVENILE COURT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486405162",
"telephone_number": "989-832-6855",
"fax_number": "989-832-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGROSKY",
"first_name": "MARYPAT",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401006152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.