Individual provider Active NPI

Pamela Sue Myslivec, LLPC

  • Professional Counselor
  • Mount Pleasant, MI
National Provider Identifier
1982142790
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015114 Issued in MI
Practice address
143 Cedar Dr
Mount Pleasant, MI 48858-9025
Phone
(989) 560-4702
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015114 MI Primary

Addresses

Primary practice location

143 Cedar Dr
Mount Pleasant, MI 48858-9025

Mailing address

143 Cedar Dr
Mount Pleasant, MI 48858-9025
Phone (989) 560-4702

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
I20240206003321 MI Practitioner - Mental Health Counselor 4486097532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Central Michigan College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 S Mission St
Suite 9a
Mt Pleasant, MI 48858-3939
Phone (989) 423-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015114MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Core Counseling Services, LLC CurrentSince Dec 8, 2023 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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1982142790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CEDAR DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589025",
            "telephone_number": "989-560-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CEDAR DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589025",
            "telephone_number": "989-560-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSLIVEC",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.