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MR. PHILLIP JAMES ZEZULAK LPC, CAADC
NPI 1740659218
Counselor - Professional in Owosso, MI

Active since September 15, 2015PECOS Enrolled
1480 N M 52 STE 1, OWOSSO, MI 48867(989) 723-8239(989) 723-8230 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2022, Aug 11, 2021, Oct 25, 2016 (3 updates tracked since 2016).

About Mr. Phillip James Zezulak Lpc, Caadc NPPES

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

MR. PHILLIP JAMES ZEZULAK LPC, CAADC (NPI 1740659218) is an individual professional provider in Owosso, Michigan, licensed in Michigan (6401019593) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740659218
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. PHILLIP JAMES ZEZULAKCredential: LPC, CAADC
Location Address1480 N M 52 STE 1Owosso, MI 48867-1025
Mailing Address1480 N M 52 Ste 1Owosso, MI 48867-1025 · (989) 723-8239 · Fax (989) 723-8230
Phone(989) 723-8239
Fax(989) 723-8230
Sole ProprietorNo
Enumeration DateSeptember 15, 2015
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1740659218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401019593
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6401019593 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401019593 (MI)
1480 N M 52 STE 1, Owosso, MI 48867
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)

Mr. Phillip James Zezulak Lpc, Caadc 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 Phillip Zezulak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Charities Of Shiawassee And Genesee Counties
3.4 mi
Mental Health
1480 N M 52 STE 1
Owosso, MI 48867
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1801819149 (989) 723-8239

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 14

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

GISELLE KENDRICK LLMSW
Social Worker (Clinical)
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8230
JOEL ALLEN TOMLINSON
Case Manager/Care Coordinator
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239
MEAGHAN WILLIAMS
Student in an Organized Health Care Education/Training Program
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239
MS. CHLORIA D BOONE
Counselor (Professional)
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (810) 232-9950
PATRICIA KELLY LMSW
Social Worker (Clinical)
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239
WHITNEY NICHOLE RANN
Social Worker (Clinical)
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239
TIM MITCHELL MANKOWSKI
Peer Specialist
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239
MONKEIDA PHALET RELERFORD
Social Worker
1480 N M 52 STE 1
OWOSSO, MI 48867
Shiawassee County (989) 723-8239

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 Phillip Zezulak's NPI number?

The NPI number for Phillip Zezulak is 1740659218. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Phillip Zezulak located?

Phillip Zezulak practices at 1480 N M 52 Ste 1, Owosso, MI 48867. The listed phone number is (989) 723-8239.

What is Phillip Zezulak's specialty?

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

Is Phillip Zezulak enrolled in Medicare?

Yes. Phillip Zezulak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Zezulak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Zezulak reassigns Medicare benefits to Catholic Charities Of Shiawassee And Genesee Counties (Owosso, 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 Phillip Zezulak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Zezulak accept?

Health plans from Priority Health list Phillip Zezulak 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 Phillip Zezulak was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.