Individual provider Active NPI

Ronald Hindbaugh, M.A.

  • Mental Health Counselor
  • Adrian, MI
National Provider Identifier
1932453388
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401000667 Issued in MI
Practice address
403 N Broad St
Adrian, MI 49221-2127
Phone
(734) 944-3446
Fax
(866) 223-1175
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401000667 MI Primary

Addresses

Primary practice location

403 N Broad St
Adrian, MI 49221-2127

Mailing address

2376 Wildwood TRL
Saline, MI 48176-1657
Phone (734) 944-3446

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
I20251013000431 MI Order and Referring Only - Mental Health Counselor 2365939691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401000667MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1932453388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 WILDWOOD TRL",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761657",
            "telephone_number": "734-944-3446",
            "fax_number": "866-223-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212127",
            "telephone_number": "734-944-3446",
            "fax_number": "866-223-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDBAUGH",
        "first_name": "RONALD",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401000667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.