TIMOTHY W MCVAY MA LLP LPC NPI 1730336926

NPI Information

  • NPI: 1730336926
  • Provider Name: TIMOTHY W MCVAY, MA, LLP, LPC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1901 NILES AVE
    SUITE 102
    ST JOSEPH, MI
    ZIP 49085
  • Phone: (269) 982-7200

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NPI Details

Timothy W Mcvay, MA, LLP, LPC is a counselor in St Joseph, MI with 27 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Timothy W Mcvay, MA, LLP, LPC NPI is 1730336926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1901 NILES AVE
SUITE 102
ST JOSEPH, MI
ZIP 49085-615
Phone: (269) 982-7200
Fax: (269) 982-0202

The NPI 1730336926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 12/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6401010619MICHIGANYes
2101YM0800XCounselorMental Health6401010619MICHIGANNo
3103T00000XPsychologist6361004438MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI7251006OTHERMICHIGANMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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