Individual provider Active NPI

Kara Bacheller, LPC

  • Counselor
  • Clyde, MI
National Provider Identifier
1881030856
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012633 Issued in MI
Practice address
4501 Atkins Rd
Clyde, MI 48049-4502
Phone
(810) 455-3994
NPI assigned
May 17, 2013
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012633 MI Primary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 6401012633 MI

Addresses

Primary practice location

4501 Atkins Rd
Clyde, MI 48049-4502

Mailing address

4501 Atkins Rd
Clyde, MI 48049-4502

Other practice location 1

2387 E. Walton Blvd.
Auburn Hills, MI 48326
Phone (810) 334-0719

Other practice location 2

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Phone (800) 395-3223

Other practice location 3

500 10th St
Port Huron, MI 48060-4477
Phone (800) 395-3223

Other practice location 4

1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125

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
I20260506000260 MI Practitioner - Mental Health Counselor 9032687371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7531 Satterlee Rd
Greenville, MI 48838-9523

PO Box
Detroit, MI 48277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401012633MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

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, 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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1881030856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 ATKINS RD",
            "city": "CLYDE",
            "state": "MI",
            "postal_code": "480494502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 ATKINS RD",
            "city": "CLYDE",
            "state": "MI",
            "postal_code": "480494502",
            "telephone_number": "810-455-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2387 E. Walton Blvd.",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "48326",
            "country_code": "US",
            "telephone_number": "810-334-0719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6549 Town Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464824",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 10th St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480604477",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Krafft Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Gratiot",
            "state": "MI",
            "postal_code": "480593565",
            "country_code": "US",
            "telephone_number": "810-985-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHELLER",
        "first_name": "KARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012633",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, MI

Sources for this page

Verify at the official NPI Registry.