CHAD THOMAS BOUSAMRA M.A.
NPI 1164694030
Counselor - Addiction (Substance Use Disorder) in Traverse City, MI

Q: What is Chad Bousamra's NPI number?

The NPI number for Chad Bousamra is 1164694030. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Q: What is Chad Bousamra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Chad Bousamra was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment

1105 E EIGHTH ST, TRAVERSE CITY, MI 49686(231) 935-6787(231) 935-6920 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chad Thomas Bousamra M.a. NPPES

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

CHAD THOMAS BOUSAMRA M.A. (NPI 1164694030) is an individual addiction (substance use disorder) provider in Traverse City, Michigan, licensed in Michigan (6401010758) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164694030

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCHAD THOMAS BOUSAMRACredential: M.A.

Location Address1105 E EIGHTH STTraverse City, MI 49686-2936

Mailing Address1105 E Eighth StTraverse City, MI 49686-2936 · (231) 935-6787 · Fax (231) 935-6920

Phone(231) 935-6787

Fax(231) 935-6920

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 31, 2008

✔ NPI 1164694030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MI · 6401010758

1105 E EIGHTH ST, Traverse City, MI 49686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Chad Thomas Bousamra M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446601280

PECOS Enrollment IDI20240105003229

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

LINDSAY BENEDICT

Speech-Language Pathologist

1105 E EIGHTH ST
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 941-8100

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 Chad Bousamra's NPI number?

The NPI number for Chad Bousamra is 1164694030. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Chad Bousamra located?

Chad Bousamra practices at 1105 E Eighth St, Traverse City, MI 49686. The listed phone number is (231) 935-6787.

What is Chad Bousamra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Chad Bousamra enrolled in Medicare?

Yes. Chad Bousamra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chad Bousamra accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Chad Bousamra 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.

Is Chad Bousamra affiliated with any hospitals?

According to CMS data, Chad Bousamra is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Chad Bousamra was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.