Support Network Counseling LLC
Counselor in Okemos, MI. Organization (NPI-2).
NPI number1124486642
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1124486642
- Entity type
- Organization (NPI-2)
- Legal business name
- Support Network Counseling LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2016
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
4131 Okemos Rd Ste 10Okemos, MI 48864-2823
Phone 517-282-0792
Mailing address
Po Box 10Mason, MI 48854-0010
Phone 517-676-9797 · Fax 517-676-3438
Authorized official
Mary Beth Houpt
Credentialing
5176769797
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