Individual provider Active NPI

Pamela Ann Nadzan, LPC

  • Mental Health Counselor
  • Essexville, MI
National Provider Identifier
1992287775
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401020330 Issued in MI
Practice address
863 N Pine Rd
Essexville, MI 48732-2159
Phone
(989) 778-2272
Fax
(989) 778-2276
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 6401020330 MI Primary

Addresses

Primary practice location

863 N Pine Rd
Essexville, MI 48732-2159

Mailing address

863 N Pine Rd
Essexville, MI 48732-2159
Phone (989) 778-2272

Other practice location 1

6030 Bay Rd
Saginaw, MI 48604-8703
Phone (989) 244-1888

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
I20231201001769 MI Practitioner - Mental Health Counselor 2567810575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewal Christian Counseling Inc 20 clinicians

Practice addresses (Care Compare)

6030 Bay Rd
Saginaw, MI 48604-8703
Phone (989) 244-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Christian Counseling Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
New Directions Counseling and Neurobehavioral Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2355 Delta Rd
Bay City, MI 48706
Phone (989) 667-5654

863 N Pine Rd
Ste C
Essexville, MI 48732
Phone (989) 778-2272

5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

6030 Bay Rd
Saginaw, MI 48604
Phone (989) 244-1888

Organizations & group practices 2

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1992287775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-778-2272",
            "fax_number": "989-778-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-778-2272",
            "fax_number": "989-778-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486048703",
            "country_code": "US",
            "telephone_number": "989-244-1888",
            "fax_number": "989-321-6544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADZAN",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401020330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.