Deerfield Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

DEERFIELD COUNSELING LLC

Practice address

5900 Portage Rd
Portage, MI 49002-1774

Phone

(269) 718-3366

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9788

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Cooney, LMSW

  • Social Worker
  • Portage, MI
  • NPI 1891233532
  Medicare reassignment Care Compare group NPD
• Jenna Losey, LMSW

  • Social Worker
  • Portage, MI
  • NPI 1669905576
  Medicare reassignment Care Compare group NPD
• Anastasia Stalias-Tibbs, LPC, MA

  • Counselor
  • Portage, MI
  • NPI 1699101865
  Medicare reassignment Care Compare group NPD
• Charles Thomas, M.A.

  • Mental Health Counselor
  • Portage, MI
  • NPI 1801271416
  Medicare reassignment Care Compare group NPD
• Kenneth Blair Martin Jr., LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1831823665
  NPD

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1992292338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021774",
            "telephone_number": "269-718-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Darrah
• Amber Noel Davenport, PA-C
• David J. Wadas DDS PLLC
• Linda Davidhizar
• Clarence Day
• Suzanne Degraves, LPC
• Dakota K Degroot, PA-C
• Kristy Kay Deiters, AU.D.
• Jasmine Delaforet
• Delight'S Afc

• Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.