CHAD THOMAS BOUSAMRA M.A.
NPI 1164694030
Counselor - Addiction (Substance Use Disorder) in Traverse City, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Chad Bousamra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49686
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1386672665 (Michigan)
- 492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Chad Bousamra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chad Bousamra reassigns Medicare benefits to Munson Medical Center (Traverse City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Bousamra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chad Bousamra accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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.
# Chad Thomas Bousamra, M.A. · NPI 1164694030
Addiction (Substance Use Disorder) provider in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since March 31, 2008.
## Identity
- **NPI:** 1164694030 (Entity type: Individual)
- **Enumerated:** March 31, 2008
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 6401010758 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1105 E EIGHTH ST, Traverse City, MI 49686-2936
- **Phone:** (231) 935-6787 · **Fax:** (231) 935-6920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Munson Medical Center (NPI 1306277553, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 31, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1164694030) · Data from the CMS NPPES public registry.