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MRS. MAVIS EMMA BUZZARD MA, LPC
NPI 1396013017
Counselor - Professional in Troy, MI

Active since December 08, 2011PECOS Enrolled
2609 CROOKS RD, TROY, MI 48084(248) 274-6193 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2024, Apr 24, 2019 (2 updates tracked since 2019).

About Mrs. Mavis Emma Buzzard Ma, Lpc NPPES

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

MRS. MAVIS EMMA BUZZARD MA, LPC (NPI 1396013017) is an individual professional provider in Troy, Michigan, licensed in Michigan (6401012803) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396013017
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MAVIS EMMA BUZZARDCredential: MA, LPC
Location Address2609 CROOKS RDTroy, MI 48084-4714
Mailing Address1443 N Bywood AveClawson, MI 48017-1101 · (586) 354-8858
Phone(248) 274-6193
Sole ProprietorYes
Enumeration DateDecember 8, 2011
Last NPPES UpdateMay 19, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1396013017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401012803
2609 CROOKS RD, Troy, MI 48084
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mavis Emma Buzzard Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mavis Buzzard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joel L. Young, M.D., P.C.
8.2 mi
Mental Health (Including Community Mental Health Center)
441 S LIVERNOIS RD, SUITE 205
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Joel L Young MD PC
  • 55 clinicians in this Medicare group
NPI 1396753729 (248) 608-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DANIEL MEDICAL TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
2609 CROOKS RD, SUITE 250
TROY, MI 48084
Oakland County (586) 202-1518
JESSICA LYNN DOUGLAS-DANIEL DNP, FNP-BC, FNP-C
Nurse Practitioner (Family)
2609 CROOKS RD
TROY, MI 48084
Oakland County No phone listed

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 Mavis Buzzard's NPI number?

The NPI number for Mavis Buzzard is 1396013017. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Mavis Buzzard located?

Mavis Buzzard practices at 2609 Crooks Rd, Troy, MI 48084. The listed phone number is (248) 274-6193.

What is Mavis Buzzard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mavis Buzzard enrolled in Medicare?

Yes. Mavis Buzzard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mavis Buzzard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavis Buzzard reassigns Medicare benefits to Joel L. Young, M.D., P.C. (Rochester Hills, 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 Mavis Buzzard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mavis Buzzard accept?

Health plans from Priority Health list Mavis Buzzard 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 Mavis Buzzard was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.