ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC (NPI# 1588906119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588906119 |
| Entity Type | Organization |
| Organization Name | ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC |
| Practice Address |
872 Munson Ave Ste D Traverse City MI 49686-3638 |
| Mailing Address |
3761 Westridge Ct Traverse City MI 49684-8942 |
| Practice Telephone | 2319220400 |
| Mailing Telephone | 2317158466 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | KEVIN DEBRUYN (OWNER) |
| Authorized Official Telephone | 2317158466 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6801089389 | MI | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6801089389 | MI | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
6801089389 | MI | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
6801089389 | MI | Ambulatory Health Care Facilities |
| Street Address |
872 MUNSON AVE STE D |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087560 | Peter D Fedor | Ophthalmology | 872 Munson Ave, Suite B, Traverse City, MI 49686-3638 | 2005-10-16 |
| 1326339755 | Kevin Mark Debruyn | Social Worker | 872 Munson Ave, Suite D, Traverse City, MI 49686-3638 | 2011-04-19 |
| 1417135922 | Mary Terese Meernik | Optometrist | 872 Munson Ave, Suite B, Traverse City, MI 49686-3638 | 2008-02-06 |
| 1821274150 | Marissa Walkerdine Rogers Do PC | Family Medicine | 872 Munson Ave, Suite D, Traverse City, MI 49686-3638 | 2008-01-16 |
| 1699957571 | Brookside Family Medicine A Center for Health and Well-being Plc | Family Medicine | 872 Munson Ave, Ste D, Traverse City, MI 49686-3638 | 2007-12-03 |
| 1164552972 | Great Lakes Eye Consultants Plc | Ophthalmology | 872 Munson Ave, Suite B, Traverse City, MI 49686 | 2007-03-07 |
| 1255418158 | Paul L Kropf | Optometrist | 872 Munson Ave, Suite A, Traverse City, MI 49686-3638 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932598976 | Ranger Vascular and Vein Center Pllc | Clinic/Center | 1225 W Front St, Suite B, Traverse City, MI 49684-2368 | 2015-01-14 |
| 1942384409 | Uscg Airsta Traverse City Clinic | Clinic/Center | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-10-24 |
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| 1346866167 | God's Path Community Services | Clinic/Center | 2500 Lemay St, Detroit, MI 48214-3146 | 2020-06-17 |
| 1487280681 | Aml Medical Pllc | Clinic/Center | 16584 Westbrook St, Detroit, MI 48219-3870 | 2020-03-19 |
| 1447883053 | Fenton Massage Company | Clinic/Center | 1250 N Leroy St, Fenton, MI 48430-2760 | 2020-02-21 |
| 1275097487 | Harmony Family Center LLC | Clinic/Center | 50 Filer St Ste 324, Manistee, MI 49660-2727 | 2019-01-22 |
| 1619477866 | Nichole Sandoval | Clinic/Center | 1427 Pingree Ave, Lincoln Park, MI 48146-2094 | 2018-02-14 |
| 1457867574 | Physicians Technology, LLC | Clinic/Center | 23 E Front St Ste 200, Monroe, MI 48161-2210 | 2017-12-27 |
| 1497264022 | Vietmdnet | Clinic/Center | 10948 Thornberry Way, Zeeland, MI 49464-7905 | 2017-09-27 |
| 1033634688 | In His Hands Family Chiropractic, Pllc | Clinic/Center | 5236 Dumond Ct, Lansing, MI 48917-6001 | 2017-08-04 |
| 1063952166 | On-demand Scanning LLC | Clinic/Center | 171 Blanche Dr, Troy, MI 48098-2934 | 2017-03-08 |
| 1982146098 | John Patrick Basler | Clinic/Center | 1006 19th St, Bay City, MI 48708-7348 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.