Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Bryan Granger , LPC

Counselor - Professional β€’ Dearborn, MI

Active NPI 1073974234 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5500 Auto Club Dr Ste 350
Dearborn, MI 481262779

Call 3133172000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5500 Auto Club Dr Ste 350

Dearborn, MI 481262779

Telephone 3133172000
Fax 3133172090
Organization at the Same NPPES Address or Phone
Hnery Ford Behavioral Health- Westpark Center Facility NPI 1033130661

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Henry Ford Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Bryan Granger has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Bryan Granger as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dearborn and Michigan

31 active clinicians are listed under Counselor - Professional with a practice address in Dearborn, MI (4,962 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn

3.2% of these 31 clinicians have the CMS telehealth indicator.

12.9% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6401014325
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240301002523

Enrollment State Jurisdiction

MI

PECOS Control ID

4284079104

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Henry Ford Health System

2799 W Grand Blvd, Detroit, MI 482022608

Phone: 8006536568

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Simran Chawa , MD

Psychiatry & Neurology - Psychiatry

NPI 1902224264

Doctor of Medicine (M.D.)

Renee Creal , MSW

Social Worker

NPI 1043311921

Master of Social Work

Dr. Cindy Devassy , MD

Psychiatry & Neurology - Psychiatry

NPI 1447592019

Doctor of Medicine (M.D.)

Jean-Marie El-Fakhoury , LMSW

Social Worker - Clinical

NPI 1093862161

Licensed Master Social Worker

Dr. Ruma Hopkins , MD

Psychiatry & Neurology - Psychiatry

NPI 1558626713

Doctor of Medicine (M.D.)

Rita Kainaya , LMSW

Social Worker - Clinical

NPI 1225218753

Licensed Master Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location June 26, 2020

Registered at 5500 AUTO CLUB DR STE 350, DEARBORN, MI 481262779 (Tel: 3133172000)

πŸ“
Updated Business Mailing Address June 26, 2020

Registered at 5500 AUTO CLUB DR STE 350, DEARBORN, MI 481262779 (Tel: 3133172000)

βœ…
NPI Profile Active February 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 25, 2017

Registered at 5111 AUTO CLUB DR STE 112, DEARBORN, MI 481262684 (Tel: 2482598555)

πŸ“
Updated Business Mailing Address February 25, 2017

Registered at 5111 AUTO CLUB DR STE 112, DEARBORN, MI 481262684 (Tel: 2482598555)

πŸ‘€
Provider Name / Credentials Updated February 25, 2017

Recorded as BRYAN GRANGER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2017

Counselor (license number reported to NPPES: MI 6401014325)

βœ…
NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 16, 2016

Registered at 1435 N. OAKLAND BLVD, WATERFORD, MI 48327 (Tel: 2484060090)

πŸ“
Business Mailing Address (Initial Record) March 16, 2016

Registered at 1435 N. OAKLAND BLVD, WATERFORD, MI 48327 (Tel: 2482598555)

πŸ‘€
Provider Name / Credentials (Initial Record) March 16, 2016

Recorded as BRYAN GRANGER, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Counselor (license number reported to NPPES: MI 6401014325)

🟒
Initial NPI Registration & Enumeration March 16, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073974234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2016
Last Update: March 14, 2021
Sole Proprietor: No

Mailing Address

5500 Auto Club Dr Ste 350

Dearborn, MI 481262779

Phone: 3133172000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.