Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL MCKIDDY MA, LPC
NPI 1639952435
Counselor - Mental Health in Troy, MI

Active since August 15, 2023PECOS Enrolled
990 E SOUTH BLVD STE 250, TROY, MI 48085(947) 222-5429 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Aug 15, 2023 (2 updates tracked since 2023).

About Michael Mckiddy Ma, Lpc NPPES

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

MICHAEL MCKIDDY MA, LPC (NPI 1639952435) is an individual mental health provider in Troy, Michigan, licensed in Michigan (6401223662) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639952435
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL MCKIDDYCredential: MA, LPC
Location Address990 E SOUTH BLVD STE 250Troy, MI 48085-1400
Mailing Address990 E South Blvd Ste 250Troy, MI 48085-1400 · (947) 222-5429
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 15, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1639952435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401223662
990 E SOUTH BLVD STE 250, Troy, MI 48085

Accepted 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)

Michael Mckiddy Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911485313
PECOS Enrollment IDI20260128000924
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

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

Counselor (Mental Health)
990 E SOUTH BLVD STE 250
TROY, MI 48085

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 Michael Mckiddy's NPI number?

The NPI number for Michael Mckiddy is 1639952435. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Michael Mckiddy located?

Michael Mckiddy practices at 990 E South Blvd Ste 250, Troy, MI 48085. The listed phone number is (947) 222-5429.

What is Michael Mckiddy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Mckiddy enrolled in Medicare?

Yes. Michael Mckiddy is registered in the Medicare PECOS enrollment system.

What insurance does Michael Mckiddy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Michael Mckiddy 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 Michael Mckiddy was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.