Anna Block-Bernal, LLPC
Individual provider Active NPI Professional Counselor · Ionia, MI
NPI 1992264352 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1992264352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401016571 (MI)
- Practice address
- 375 Apple Tree Dr
Ionia, MI 48846-7506 - Phone
- (616) 527-1790
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|
| 6401016571 | MI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401016571 | MI | Yes |
Addresses
Primary practice location
375 Apple Tree Dr
Ionia, MI 48846-7506
Mailing address
375 Apple Tree Dr
Ionia, MI 48846-7506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
Other providers in Ionia, MI
- Emily Anne Betz
- Ashley Marie Bewell
- John Birgiolas
- Mary Lynn Blanding
- Angela Blevins
- Julie Renee Blodgett
- Bluewater Counseling & Recovery LLC
- Bluewater Family Dental
- Tishana Bolen
- Greg Bos
All providers in Ionia, MI · Professional 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 15, 2019. 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.