| Christopher Stark, | |
|
5945 Cottonwood Dr, Ypsilanti, MI 48197-8203 | |
| (817) 773-8161 | |
| Not Available |
| Full Name | Christopher Stark |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 5945 Cottonwood Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982413563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65146 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 6401224683 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monarch Counseling Llc | 2769763978 | 7 |
| Entity Name | Monarch Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518326461 PECOS PAC ID: 2769763978 Enrollment ID: O20170705002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Stark, 5945 Cottonwood Dr, Ypsilanti, MI 48197-8203 Ph: (817) 773-8161 | Christopher Stark, 5945 Cottonwood Dr, Ypsilanti, MI 48197-8203 Ph: (817) 773-8161 |
Ms. Dawn Elaine Chalker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Washtenaw Rd, Ypsilanti, MI 48197 Phone: 734-417-2664 |
Jason Francis Schwartz, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6633 Stony Creek Rd, Ypsilanti, MI 48197 Phone: 734-485-8725 |
Edward Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2891 International Dr Apt 1944c, Ypsilanti, MI 48197 Phone: 313-820-7444 |
Samantha Maria Bastianelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Packard Rd Ste 4, Ypsilanti, MI 48197 Phone: 734-480-8099 Fax: 734-999-3779 |
Bradley Moss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Levona St, Ypsilanti, MI 48198 Phone: 734-674-0033 |
Sima Haghpassand Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7716 Pioneer Dr, Ypsilanti, MI 48197 Phone: 734-915-8510 |
Alex Laursen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Evelyn Ave, Ypsilanti, MI 48198 Phone: 863-899-3214 |