| Lake Orion Counseling Center | |
|
3604 Clarkston Rd Clarkston MI 48348-5215 | |
| (248) 595-9969 | |
| (248) 814-0361 |
| Full Name | Lake Orion Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 3604 Clarkston Rd, Clarkston, Michigan |
| Authorized Official Name and Position | Adam Ross Pasciak (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2488079894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Orion Counseling Center 3604 Clarkston Rd Clarkston MI 48348-5215 Ph: (248) 595-9969 | Lake Orion Counseling Center 3604 Clarkston Rd Clarkston MI 48348-5215 Ph: (248) 595-9969 |
| NPI Number | 1255759486 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 3870717838 |
|---|---|
| Medicare Enrollment ID | O20140612001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255759486 | NPI | - | NPPES |
| 6301015095 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301015095 (Michigan) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Cindy M Nelson Pouget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720208374 PECOS PAC ID: 1153367446 Enrollment ID: I20050708000313 |
| Provider Name | Adam R Pasciak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548569049 PECOS PAC ID: 8224252283 Enrollment ID: I20140612001391 |
| Provider Name | Karyn L Skiba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841672987 PECOS PAC ID: 5698040293 Enrollment ID: I20171009000337 |
| Provider Name | Cynthia L Hilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477885812 PECOS PAC ID: 5395098396 Enrollment ID: I20181022000389 |
| Provider Name | Deanna Martens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699380469 PECOS PAC ID: 1456741487 Enrollment ID: I20211207001718 |
| Provider Name | Lindsay Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548700487 PECOS PAC ID: 4981094810 Enrollment ID: I20211207001814 |
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