Gregory C Achatz, LLPC – Mental Health Counselor

Key facts

NPI: 1902556780
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 6451022128 (MI)
Practice address: 150 S Ripley Blvd
Alpena, MI 49707-3406
Phone: (989) 884-0066
NPI assigned: Mar 25, 2022
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
6451022128	MI	MD	Counselor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	6451022128	MI
Mental Health Counselor	101YM0800X	6451022128	MI	Yes

Addresses

Primary practice location

150 S Ripley Blvd
Alpena, MI 49707-3406

Mailing address

PO Box 586
Alpena, MI 49707-0586
Phone (989) 884-0064

Other identifiers

Identifier	Type	State	Issuer
6451022128	Other	MI	PROFESSIONAL COUNSELOR LIMITED LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1902556780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070586",
            "telephone_number": "989-884-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073406",
            "telephone_number": "989-884-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHATZ",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451022128",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LIMITED LICENSE",
            "identifier": "6451022128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

All providers in Alpena, MI · Mental Health Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.