Blake Hellebuyck · Blake Krzyminski · Mental Health Counselor

41521 W 11 Mile Rd, Novi, MI 48375-1803

Overview

Blake Hellebuyck is a Mental Health Counselor practicing in Midland, Michigan. The National Provider Identifier (NPI) is #1871075804, which was assigned on September 6, 2018, and the registration record was last updated on February 4, 2025. The practitioner's main practice location is at 720 W Wackerly St Ste 11, Midland, MI 48640-2769; the contact telephone number is 9898322165. The primary taxonomy of Blake Hellebuyck is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Blake Hellebuyck is licensed to practice in the state of Michigan (#6451022123).

Provider Information

NPI 1871075804
Entity Type Individual
Provider Name BLAKE HELLEBUYCK
Other Name BLAKE KRZYMINSKI
(Former Name)
Gender Female
Credential LPC
Other Credential LPC
Practice Address 720 W Wackerly St Ste 11
Midland
MI 48640-2769
Practice Telephone 9898322165
Mailing Address 41521 W 11 Mile Rd
Novi
MI 48375-1803
Mailing Telephone 2482990030
Certification Date 2025-02-04
Enumeration Date 2018-09-06
Last Update Date 2025-02-04
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2365886843
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name BLAKE KRZYMINSKI
Primary Specialty MENTAL HEALTH COUNSELOR
Organization Legal Name PARTNERS IN CHANGE PSYCHOLOGICAL AND COMMUNITY SERVICES, PLC
Address 720 W Wackerly St
Suite 11
Midland
MI 48640-2769

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N106S00000XBehavior Technician
Y101YM0800XCounselorMental Health6451022123MI

Secondary Practice Locations

AddressTelephoneFax
41521 W 11 Mile Rd, Novi, MI 483752482990030

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 106S00000X
Taxonomy Behavior Technician
Classification Behavior Technician
Grouping Behavioral Health & Social Service Providers
Definition: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

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Location Information

Street Address 41521 W 11 MILE RD
City NOVI
State MI
Zip Code 48375-1803
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Caroline Christine Lopez 41521 W 11 Mile Rd, Novi, MI 48375-1803Mental Health Counselor2017-10-20
Diane Gallegos Patrick 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2018-10-03
Samatha Gholston 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2018-07-08
Marcia Brewer 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2018-05-09
Sonya Flores 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2019-01-31
Jessica Gallegos 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2018-04-12
Catheryn E Mcswain 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavioral Analyst2017-06-07
Craig Ryan Miller 41521 W 11 Mile Rd, Novi, MI 48375-1803Behavior Technician2018-10-02
Mynesha Latee Word 41521 W 11 Mile Rd, Novi, MI 48375-1803Registered Nurse2016-12-12
Derricka Emanda Harper 41521 W 11 Mile Rd, Novi, MI 48375-1803Licensed Practical Nurse2017-10-10
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Shane Leland Stanley 26090 Lannys Rd, Novi, MI 48375-1022Chiropractor2006-06-14
Angela Davis-Moore 43155 Main St, Novi, MI 48375-1777Psychologist2025-06-09
Farid Alsabeh 41700 Gardenbrook Rd Ste 110, Novi, MI 48375-1320Psychologist2022-08-22
Luminary Hospice of Michigan, LLC 41800 W 11 Mile Rd Ste 100, Novi, MI 48375-1818Community Based Hospice Care Agency2024-09-23
Nicholas Binder 26200 Town Center Dr Ste 165, Novi, MI 48375-1219Chiropractor2020-10-12
Endodontic Associates of Michigan PLLC 25500 Meadowbrook, Ste. 125, Novi, MI 48375Endodontist2018-12-03
Warren Paul Vallerand 40399 Grand River Avenue, Suite 140, Novi, MI 48375Oral and Maxillofacial Surgery (Dentist)2006-04-27
Promed Preferred Mi 2, PLLC 26090 Lannys Rd, Novi, MI 48375-1022Internal Medicine Physician2025-01-03
Stacey Lynn Peterson 23965 Novi Rd Ste 160, Novi, MI 48375-0203Psychologist2008-05-20
Ashley Ugolini-Pruitt 44725 Grand River Ave Ste 104, Novi, MI 48375-1024Registered Nurse2015-03-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.