| Macomb Therapy Group, Pllc | |
|
42815 Garfield Rd Ste 201 Clinton Township MI 48038-1143 | |
| (586) 333-5328 | |
| (586) 948-9304 |
| Full Name | Macomb Therapy Group, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 42815 Garfield Rd Ste 201, Clinton Township, Michigan |
| Authorized Official Name and Position | Angela Marie Kosmas (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5863335328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Therapy Group, Pllc 42815 Garfield Rd Ste 201 Clinton Township MI 48038-1143 Ph: (586) 333-5328 | Macomb Therapy Group, Pllc 42815 Garfield Rd Ste 201 Clinton Township MI 48038-1143 Ph: (586) 333-5328 |
| NPI Number | 1801245972 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Medicare PECOS PAC ID | 4981978418 |
|---|---|
| Medicare Enrollment ID | O20170922000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801245972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401010333 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Amy E Park-goeddeke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417097700 PECOS PAC ID: 4385831213 Enrollment ID: I20101204000037 |
| Provider Name | Marni D Alekman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649554387 PECOS PAC ID: 9436470663 Enrollment ID: I20150601000076 |
| Provider Name | Marway S Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124382262 PECOS PAC ID: 8123324290 Enrollment ID: I20160316000335 |
| Provider Name | Corissa A Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093008880 PECOS PAC ID: 6507118817 Enrollment ID: I20181016000618 |
| Provider Name | Sarah M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629332879 PECOS PAC ID: 9436573474 Enrollment ID: I20200722003692 |
| Provider Name | Rakesh Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445475 PECOS PAC ID: 6002050010 Enrollment ID: I20201229001491 |
| Provider Name | Amanda Jade Lilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629452941 PECOS PAC ID: 3870909047 Enrollment ID: I20210312001722 |
| Provider Name | Noor Al-omari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821611567 PECOS PAC ID: 1850775479 Enrollment ID: I20220831002212 |
| Provider Name | Erin Lynn Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144561143 PECOS PAC ID: 5496114910 Enrollment ID: I20230630002243 |
| Provider Name | Mary Ann Shamon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700404225 PECOS PAC ID: 9436504099 Enrollment ID: I20231017002300 |
| Provider Name | Heather Haraga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609281633 PECOS PAC ID: 1850744012 Enrollment ID: I20240124003141 |
| Provider Name | Jeneve Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275771867 PECOS PAC ID: 1850670001 Enrollment ID: I20240124003260 |
| Provider Name | Jennifer R Genuise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396367124 PECOS PAC ID: 4183077365 Enrollment ID: I20240124003975 |
| Provider Name | Angela Marie Kosmas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962720805 PECOS PAC ID: 6709173545 Enrollment ID: I20240124004091 |
| Provider Name | Jordan Riley Tasker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467004879 PECOS PAC ID: 5294188348 Enrollment ID: I20240125001624 |
| Provider Name | Katie Ann Kesterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093350985 PECOS PAC ID: 6901259654 Enrollment ID: I20240129003700 |
| Provider Name | Rachel Renee Ludeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417563719 PECOS PAC ID: 9335583707 Enrollment ID: I20240214001350 |
| Provider Name | Maureen Ann Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053691931 PECOS PAC ID: 0941645139 Enrollment ID: I20240227004042 |
Henry Ford Macomb Hospital Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43411 Garfield Rd, Clinton Township, MI 48038 Phone: 586-226-7007 | |
Easter Seals-michigan, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15600 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-8700 | |
Douglas Shore & Sylvia Voelker Ptrs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34605 Harper Avenue, Clinton Township, MI 48035 Phone: 586-791-6060 Fax: 586-781-8211 | |
Denise M Hubert, Lmsw Professional Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16950 19 Mile Rd, Suite 3f, Clinton Township, MI 48038 Phone: 586-855-5022 Fax: 586-855-5026 | |
Macomb County Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43740 N Groesbeck Hwy, Clinton Township, MI 48036 Phone: 586-469-7789 | |
Hamilton Wellness, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16931 19 Mile Rd Ste 140, Clinton Township, MI 48038 Phone: 586-226-2822 Fax: 586-226-2833 | |
Icare Counseling Of Michigan, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16950 19 Mile Rd, Suite 3g, Clinton Township, MI 48038 Phone: 586-292-3397 Fax: 586-228-8809 |