| Matthew Thatcher, LPC | |
|
333 W Western Ave Ste 5, Muskegon, MI 49440 | |
| (616) 202-2138 | |
| Not Available |
| Full Name | Matthew Thatcher |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 333 W Western Ave Ste 5, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285917997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 101YMO800X (Illinois) | Primary |
| Entity Name | Bloom Behavioral Health Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174176366 PECOS PAC ID: 3678959632 Enrollment ID: O20220929000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Thatcher, LPC 1514 Wealthy St Se Ste 242, Grand Rapids, MI 49506-2755 Ph: (616) 202-2138 | Matthew Thatcher, LPC 333 W Western Ave Ste 5, Muskegon, MI 49440 Ph: (616) 202-2138 |
Valerie A Porenta, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 3rd St, Muskegon, MI 49441 Phone: 231-726-4735 Fax: 231-722-0789 | |
Jennifer Roach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 4th St, Muskegon, MI 49441 Phone: 231-726-2299 | |
Marjorie Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-4359 Fax: 231-733-6151 | |
Ms. Lauren C Thomas, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3636 | |
Monique L Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Peck St, Muskegon, MI 49441 Phone: 231-724-3336 | |
Mr. Peter Jonas Chandler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-6050 Fax: 231-724-6066 | |
Nicholas Bremer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 |