NPIMap

Organization Active NPI

Maple Leaf Counseling Services LLC

  • Social Worker
  • Saginaw, MI
National Provider Identifier
1992295281
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MAPLE LEAF COUNSELING SERVICES LLC
Practice address
33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone
(989) 220-3060
NPI assigned
May 13, 2018
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Daniel Grant Halvorsen, LPCNPI 1528321262
Title
Licensed Professional Counselor
Phone
(989) 714-4793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896

Mailing address

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone (989) 220-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213000032 MI Part B Supplier - Clinic/Group Practice 0648642017 Receives reassigned benefits from 13 practitioners
Practice locations: Bay City, MI; Flint, MI; Midland, MI; Saginaw, MI

National Provider Directory

National Provider Directory

Locations

101 1st St
Ste 101
Bay City, MI 48708
Phone (989) 220-3060

4151 Shrestha Dr
Bay City, MI 48706
Phone (989) 203-0602

4151 Shrestha Dr
Ste D
Bay City, MI 48706
Phone (989) 220-3060

5406 Gateway Ctr
Ste E
Grand Blanc, MI 48507
Phone (586) 219-1924

420 Waldo Ave
Ste 3
Midland, MI 48642
Phone (989) 220-3060

300 Saint Andrews Rd
Ste 401
Saginaw, MI 48638

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1992295281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385896",
            "telephone_number": "989-220-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385896",
            "telephone_number": "989-220-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "HALVORSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "989-714-4793",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.