Brian Douglas Leidal, MA LPC CMHC in Ann Arbor, MI

Brian Douglas Leidal, MA LPC CMHC is a medicare enrolled "Counselor - Mental Health" provider in Ann Arbor, Michigan. His current practice location is 405 Little Lake Dr Ste A, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 719-0380.

Brian Douglas Leidal is licensed to practice in Michigan (license number 6401223256) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154083897.

Contact Information

	Brian Douglas Leidal, MA LPC CMHC
	405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220
	(734) 719-0380
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Douglas Leidal
Gender	Male
Speciality	Counselor - Mental Health
Location	405 Little Lake Dr Ste A, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154083897
Provider Enumeration Date: 10/11/2021
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 5496299018
Enrollment ID: I20240706000136

Medical Identifiers

Medical identifiers for Brian Douglas Leidal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154083897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC01319 (Rhode Island)	Secondary
101YM0800X	Counselor - Mental Health	10460707-6004 (Utah)	Secondary
101YP2500X	Counselor - Professional	LPC.0013400 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	6401223256 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Douglas Leidal allows following entities to bill medicare on his behalf.

Entity Name	Timber Creek Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194213322 PECOS PAC ID: 4688004815 Enrollment ID: O20200430001328

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Douglas Leidal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Douglas Leidal, MA LPC CMHC 121 Wood St Apt 3, Bristol, RI 02809-3169 Ph: (313) 969-2288	Brian Douglas Leidal, MA LPC CMHC 405 Little Lake Dr Ste A, Ann Arbor, MI 48103-6220 Ph: (734) 719-0380

Reviews and Comments

Counselor in Ann Arbor, MI

Ms. Robin Dawn Edison, MED, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5656 Le Blanc Ave, Ann Arbor, MI 48103 Phone: 248-520-0880
Maia Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St Ste 270, Ann Arbor, MI 48108 Phone: 734-995-6755
Samantha Schwartz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 E William St Ste D, Ann Arbor, MI 48104 Phone: 412-527-9128
Erin Christina Egan, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2500 Packard St Ste 104a, Ann Arbor, MI 48104 Phone: 734-707-1052 Fax: 734-661-1887
Mrs. Christine Ponce Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St, Suite 220, Ann Arbor, MI 48108 Phone: 734-477-9999 Fax: 734-477-0955
Erin E Bultema, Counselor Medicare: Medicare Enrolled Practice Location: 727 Miller Ave, Ann Arbor, MI 48103 Phone: 734-209-3727
Dr. Robert Michael Ortega, MSW, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 S. Forest, Ann Arbor, MI 48104 Phone: 734-763-6576 Fax: 734-763-3372

Brian Douglas Leidal, MA LPC CMHC - Medicare Counselor in Ann Arbor, MI