Gail Vanamberg, LPC
Individual provider Active NPI Counselor · Gregory, MI
NPI 1972561959 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1972561959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401000296 (MI)
- Practice address
- 5576 Weller Rd
Gregory, MI 48137-9524 - Phone
- (517) 285-8707
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5576 Weller Rd
Gregory, MI 48137-9524
Phone (517) 285-8707
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240223003576 | MI | Practitioner - Mental Health Counselor | 4981049426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000296 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GLV Innovations | Counselor | Current |
Accepting new patients |
| Community Mental Health Authority of Clinton Eaton Ingham Counties | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401000296 | MI | Yes |
Addresses
Primary practice location
5576 Weller Rd
Gregory, MI 48137-9524
Mailing address
PO Box 10
Mason, MI 48854-0010
Other providers in Gregory, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.