DEEPWATER COUNSELING, PLLC
NPI 1639600687
Counselor - Professional in Ypsilanti, MI

NPI Status: Active since March 22, 2017

Contact Information

3150 PACKARD RD
YPSILANTI, MI
ZIP 48197
Phone: (734) 203-0183

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  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About DEEPWATER COUNSELING, PLLC

This page provides the complete NPI Profile along with additional information for Deepwater Counseling, Pllc, a provider established in Ypsilanti, Michigan operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1639600687 assigned on March 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 6401014637 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jennifer Blough Lpc (Owner)

NPI
1639600687
Provider Name
DEEPWATER COUNSELING, PLLC
Entity Type
Organization
Location Address
3150 PACKARD RD YPSILANTI, MI 48197
Location Phone
(734) 203-0183
Mailing Address
10672 NORTHWOOD HWY ONEKAMA, MI 49675
Mailing Phone
(734) 776-8251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2017
Last Update Date
01-14-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
6401014637
License State
MI

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER BLOUGH LPC

Authorized Official Title
OWNER
Authorized Official Phone
(734) 776-8251

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1528456019OTHER (01)MIPERSONAL NPI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639600687
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691200616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 0 + 0 + 6 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1639600687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972621266 VICTORIA CARIDAD SERBIA M.D.
Individual
Psychiatry & Neurology (Psychiatry)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 528-0801
1679734461VISITING PHYSICIANS ASSOCIATES PC
Organization
General Practice3150 PACKARD RD
YPSILANTI, MI 48197
(734) 477-9030
1790937571TUSCANY HOME HEALTH SERVICES LLC
Organization
Home Health3150 PACKARD RD
YPSILANTI, MI 48197
(734) 644-0596
1326291584LINCOLN HOME HEALTH SERVICES, LLC
Organization
Home Health3150 PACKARD RD
YPSILANTI, MI 48197
(313) 415-0058
1407017239MS. STACEY MICHELLE MACK MSW
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 879-0162
1205098654DR. SHI-YU TAN MD
Individual
General Practice3150 PACKARD RD
YPSILANTI, MI 48197
(734) 276-7096
1790302479 LIBERTY ELLIS LLPC
Individual
Counselor (Mental Health)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1528456019 JENNIFER BLOUGH LLPC
Individual
Counselor (Professional)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1306454665 ANGELA MASINDE MA, LLPC, ATR-P
Individual
Counselor (Professional)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1942945035 FATU KAMARA
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1649081498 AMBER NICOLE HUGHSON LLMSW
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(248) 581-8777
1003402207 VITALIS IM
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(248) 581-8777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639600687, enumerated in the NPI registry as an "organization" on March 22, 2017

The provider is located at 3150 Packard Rd Ypsilanti, Mi 48197 and the phone number is (734) 203-0183

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 22, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.