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Rose Macdonald , LLPC

Counselor - Professional β€’ Port Huron, MI

Active NPI 1366192148 Individual Practitioner Female Practitioner
Practice location in NPPES

3111 Electric Ave
Port Huron, MI 480608127

Call 8109858900 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

3111 Electric Ave

Port Huron, MI 480608127

Telephone 8109858900
Organization at the Same NPPES Address or Phone
Genoa Healthcare Llc Facility NPI 1497791313

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

NPI first issued

2022

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Huron and Michigan

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

2.4% of these 42 clinicians have the CMS telehealth indicator.

14.3% of these 42 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: 2024-05-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6451023581
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

Clinicians Sharing This Practice Address or Phone

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

6 listed
Kristen Azzinaro

Social Worker - Clinical

NPI 1013671056
Callie Gunn

Social Worker - Clinical

NPI 1003483215
Deborah Kokoszka , LMSW

Social Worker - Clinical

NPI 1023320413

Licensed Master Social Worker

Dr. Brandon Moore , MD

Psychiatry & Neurology - Psychiatry

NPI 1083902977

Doctor of Medicine (M.D.)

Dr. Mohammad Saeed , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1104939719

Doctor of Medicine (M.D.)

Carol Wiediger , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033285242

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 31, 2024

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸ‘€
Provider Name / Credentials Updated May 31, 2024

Recorded as ROSE MACDONALD, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Counselor (license number reported to NPPES: MI 6451023581)

βœ…
NPI Profile Active March 25, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2022

Registered at 400 STODDARD RD, RICHMOND, MI 480622505 (Tel: 8103922167)

πŸ“
Business Mailing Address (Initial Record) March 25, 2022

Registered at 6275 STATE RD, BURTCHVILLE, MI 480592408 (Tel: 8108879894)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2022

Recorded as ROSE MACDONALD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Counselor

🟒
Initial NPI Registration & Enumeration March 25, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366192148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2022
Last Update: May 31, 2024
Sole Proprietor: No

Mailing Address

6275 State Rd

Burtchville, MI 480592408

Phone: 8108879894

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.