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MACKENZIE MICHAEL CRANDALL LLPC, MA, TLLP
NPI 1003514019
Counselor in Clarkston, MI

Active since February 20, 2023PECOS Enrolled
5980 S MAIN ST STE 101, CLARKSTON, MI 48346(248) 625-2970 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Mackenzie Michael Crandall Llpc, Ma, Tllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE MICHAEL CRANDALL LLPC, MA, TLLP (NPI 1003514019) is an individual counselor in Clarkston, Michigan, licensed in Michigan (6451022802) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003514019
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMACKENZIE MICHAEL CRANDALLCredential: LLPC, MA, TLLP
Location Address5980 S MAIN ST STE 101Clarkston, MI 48346-2377
Mailing Address2375 Walton Blvd Unit 4Rochester Hills, MI 48309-1459 · (248) 200-8023
Phone(248) 625-2970
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2023
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1003514019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6451022802
Definition
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 6362009701 (MI)
5980 S MAIN ST STE 101, Clarkston, MI 48346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Michael Crandall Llpc, Ma, Tllp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214435361
PECOS Enrollment IDI20250808001179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN EMMA LEDERMAN MA, LLPC, NCC
Counselor (Mental Health)
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-6829
SABRINA ANGEL VALDIVIA LLMFT
Marriage & Family Therapist
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 266-0920
KINDMIND PSYCHIATRIC HEALTH
Psychiatry & Neurology (Psychiatry)
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 470-7359
RHONDA KAY TOMEI
Counselor (Professional)
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-2970
EMILY WISLER LLPC
Counselor (Professional)
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-2970
JEREMIAH LANG
Psychologist
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-2970
MS. KATHLEEN MARIE TAYLOR LLMSW
Social Worker
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-2970
HOLLY JARA
Social Worker (Clinical)
5980 S MAIN ST STE 101
CLARKSTON, MI 48346
Oakland County (248) 625-2970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Crandall's NPI number?

The NPI number for Mackenzie Crandall is 1003514019. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Mackenzie Crandall located?

Mackenzie Crandall practices at 5980 S Main St Ste 101, Clarkston, MI 48346. The listed phone number is (248) 625-2970.

What is Mackenzie Crandall's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mackenzie Crandall enrolled in Medicare?

Yes. Mackenzie Crandall is registered in the Medicare PECOS enrollment system.

What insurance does Mackenzie Crandall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mackenzie Crandall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackenzie Crandall was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.