Ms Martha Doran Burkett, LPC, NCC, CAADC,ADS | |
2424 Burton St Se Ste 104, Grand Rapids, MI 49546-4833 | |
(616) 541-4211 | |
Not Available |
Full Name | Ms Martha Doran Burkett |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2424 Burton St Se Ste 104, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689856627 | NPI | - | NPPES |
6401009140 | Other | MI | COUNSELING LICENSE |
5797 | Other | NATIONAL AURICULAR ACUDETOX ASSOCIATION ADS CERTIFICATE | |
11806665 | Other | CAQH | |
95289 | Other | NCC | |
C-00076 | Other | MI | CAADC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-00076 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401009140 (Michigan) | Primary |
Entity Name | Counseling Center Of West Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
Mailing Address | Practice Location Address |
---|---|
Ms Martha Doran Burkett, LPC, NCC, CAADC,ADS 2424 Burton St Se Ste 104, Grand Rapids, MI 49546-4833 Ph: (616) 542-4211 | Ms Martha Doran Burkett, LPC, NCC, CAADC,ADS 2424 Burton St Se Ste 104, Grand Rapids, MI 49546-4833 Ph: (616) 541-4211 |
Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750 | |
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657 | |
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176 | |
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724 | |
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284 | |
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392 |