Dawn Vanessa Rozycki, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451022586 Issued in MI

Practice address

433 Seminole Rd Ste 108
Norton Shores, MI 49444-3743

Phone

(231) 288-6591

NPI assigned

Nov 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Place Counseling PLLCGroup PAC ID 6709324650, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healing Place Counseling PLLC

  • Professional Counselor
  • Norton Shores, MI
  • NPI 1730572777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1942910112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CRYSTAL LAKE RD",
            "city": "TWIN LAKE",
            "state": "MI",
            "postal_code": "494579407",
            "telephone_number": "231-206-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SEMINOLE RD STE 108",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443743",
            "telephone_number": "231-288-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZYCKI",
        "first_name": "DAWN",
        "middle_name": "VANESSA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451022586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Robertson, DDS
• Rock Your Mind Therapy PLLC
• Jodi Ann Rodriguez
• Shelly M Rodriguez
• Eric C Rop, MD
• Laura Rundell, LMT
• Alyssa L. Russell, LMSW
• Diane Russick-Keglovitz, MA LLPC
• RX Optical Laboratories, Inc.
• Michael Thomas Rykse, D.C.

• Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.