Bren Shantz, LPC, LLP is a
Counselor - Professional based in Rockford, Michigan. Bren Shantz is licensed to practice in Michigan (license number 6401014444) and his current practice location is
4890 11 Mile Rd Ne, Rockford, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 439-1866.
NPI number for Bren Shantz is 1003283169 and his current mailing address is 3201 Burton St Se, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003283169.
Healthcare Provider's Profile
Full Name | Bren Shantz |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 4890 11 Mile Rd Ne, Rockford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003283169
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 01/03/2019
Medical Identifiers
Medical identifiers for Bren Shantz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003283169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 6301016034 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401014444 (Michigan) | Primary |
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. Bren Shantz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bren Shantz, LPC, LLP 3201 Burton St Se, Grand Rapids, MI 49546-4301 Ph: (616) 439-1866 | Bren Shantz, LPC, LLP 4890 11 Mile Rd Ne, Rockford, MI 49341-8477 Ph: (616) 439-1866 |
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