Individual provider Active NPI

Tammy Shawn Pretzer, M.A. .L.P.C.

  • Counselor
  • Clinton TWP, MI
National Provider Identifier
1881719011
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401008636 Issued in MI
Practice address
15945 Canal Rd
Clinton TWP, MI 48038-1610
Phone
(586) 416-2300
Fax
(586) 416-2311
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008636 MI Primary

Addresses

Primary practice location

15945 Canal Rd
Clinton TWP, MI 48038-1610

Mailing address

46270 Lookout Dr
Macomb, MI 48044-6236
Phone (586) 468-7636

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
I20240228002386 MI Practitioner - Mental Health Counselor 5991140063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

47100 Schoenherr Rd
Suite B
Shelby TWP, MI 48315-4714
Phone (586) 994-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Wellness Center PLLC CurrentSince Jan 17, 2024 Accepting new patients

Locations

47100 Schoenherr Rd
Ste B
Shelby Township, MI 48315
Phone (248) 884-2701

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1881719011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46270 LOOKOUT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446236",
            "telephone_number": "586-468-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETZER",
        "first_name": "TAMMY",
        "middle_name": "SHAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A. .L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.