Provider Demographics
NPI:1164602173
Name:NORTH POINT - PIONEER, INC
Entity Type:Organization
Organization Name:NORTH POINT - PIONEER, INC
Other - Org Name:PIONEER COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:KERTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-363-2641
Mailing Address - Street 1:8391 COMMERCE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382
Mailing Address - Country:US
Mailing Address - Phone:248-363-2641
Mailing Address - Fax:248-363-2762
Practice Address - Street 1:2300 HAGGERTY RD
Practice Address - Street 2:SUITE 2160
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323
Practice Address - Country:US
Practice Address - Phone:248-539-0899
Practice Address - Fax:248-539-0482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHPOINT PIONEER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-07
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N61390Medicare PIN
MI0M24490Medicare PIN