Individual provider Active NPI

Carl Bastien

  • Mental Health Counselor
  • Flint, MI
National Provider Identifier
1992939540
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401224685 Issued in MI
Practice address
725 Mason St
Flint, MI 48503-2421
Phone
(810) 496-5777
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19094 FL
Mental Health Counselor 101YM0800X 6401224685 MI Primary

Addresses

Primary practice location

725 Mason St
Flint, MI 48503-2421

Mailing address

725 Mason St
Flint, MI 48503-2421

Other practice location 1

4422 E Columbus Dr
Tampa, FL 33605-3233
Phone (813) 384-4108

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
I20250925002488 MI Practitioner - Mental Health Counselor 1951751395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

725 Mason St
Flint, MI 48503-2421
Phone (810) 496-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH19094FLMDMental Health Counselor
6401224685MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System CurrentSince Sep 8, 2025 Accepting new patients
Genesee Health System Current Accepting new patients
Genesee Health System CurrentSince Sep 8, 2025 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

1402 S Saginaw St
Flint, MI 48503
Phone (810) 496-4955

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

Interoperability endpoints

  • Direct secure messaging: carl.bastien.p1@direct.gchc.nextgenshare.com

Organizations & group practices 5

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1992939540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032421",
            "telephone_number": "810-496-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 E Columbus Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336053233",
            "country_code": "US",
            "telephone_number": "813-384-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "CARL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19094",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.