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JEREMY RYAN BILDERBACK MA, LLPC
NPI 1659903490
Counselor in Traverse City, MI

Active since February 10, 2020
928 S GARFIELD AVE STE 3A, TRAVERSE CITY, MI 49686(231) 392-4638 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Ryan Bilderback Ma, Llpc NPPES

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

JEREMY RYAN BILDERBACK MA, LLPC (NPI 1659903490) is an individual counselor in Traverse City, Michigan, licensed in (6401017749) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1659903490
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY RYAN BILDERBACKCredential: MA, LLPC
Location Address928 S GARFIELD AVE STE 3ATraverse City, MI 49686-2403
Mailing Address4316 5 Mile RdWilliamsburg, MI 49690-9317
Phone(231) 392-4638
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
✔ NPI 1659903490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed · 6401017749
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.
928 S GARFIELD AVE STE 3A, Traverse City, MI 49686
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Other Providers at the Same Location NPPES 3

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

MARY TACKBARY
Nurse Practitioner (Psychiatric/Mental Health)
928 S GARFIELD AVE STE 3A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 835-0115
NEH PC
Nurse Practitioner (Psychiatric/Mental Health)
928 S GARFIELD AVE STE 3A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 835-0115
MRS. KRISTEN NICOLE VANDERKOLK LPC, NCC
Counselor (Professional)
928 S GARFIELD AVE STE 3A
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 421-5358

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 Jeremy Bilderback's NPI number?

The NPI number for Jeremy Bilderback is 1659903490. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Jeremy Bilderback located?

Jeremy Bilderback practices at 928 S Garfield Ave Ste 3A, Traverse City, MI 49686. The listed phone number is (231) 392-4638.

What is Jeremy Bilderback's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Bilderback was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.