Benjamin Michael Meredith, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

127 N River St
Fenton, MI 48430-3800

Phone

(810) 309-9355

Fax

(810) 750-1152

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

J Flack PSYD PCGroup PAC ID 0547426264, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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 and National Provider Directory roles.

• J Flack PSYD PC

  dba Fenton Wellness

  • Psychologist
  • Fenton, MI
  • NPI 1770859001

  Counselor

  Medicare reassignment Care Compare group NPD
• Fenton Wellness

  dba Jennifer Flack

  • Psychologist
  • Fenton, MI
  • NPI 1386964278

  Counselor

  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1871880807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-309-9355",
            "fax_number": "810-750-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-309-9355",
            "fax_number": "810-750-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer McGee, FNP
• McLaren Health Management Group (McLaren CareNow)
• McLaren Medical Group
• Dora Diane McVay, COTA
• Med-Care Oxygen and Equipment Inc
• Natalie Ann Merkel, BSW
• Aline A Mesh, D.M.D.
• Joseph E Mesh, D.M.D.
• Michael D Zerafa PLLC
• Michael J Kirby MD PLC

• Mental Health Counselor in Fenton, MI
• Providers in Fenton, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.