BRENDA MARIE HEISSENBUETTEL – Mental Health Counselor, NPI 1174821342

BRENDA MARIE HEISSENBUETTEL is a healthcare provider. based in Wyandotte, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401012165 (MI). The NPI Number for BRENDA MARIE HEISSENBUETTEL is 1174821342

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA MARIE HEISSENBUETTEL
NPI
1174821342
Phone
(734) 934-4496
Address
441 BONDIE ST
Enumeration Date
11 March 2011
Last Update Date
11 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342871500
Graduation Year
2010 (16 years ago)
PAC ID
3577909241
Group Practice PAC ID
8022171735
Professional Enrollment ID
I20240315003497
Address ID
MI481952220SO19291RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,061 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for BRENDA MARIE HEISSENBUETTEL

  • 441 BONDIE ST

    WYANDOTTE, MI 481922614

    Phone: (734) 934-4496

    Type: Mailing

  • 13101 ALLEN RD

    SOUTHGATE, MI 481952216

    Phone: (734) 785-7700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240315003497IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48192)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022171735View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the registry number for BRENDA MARIE HEISSENBUETTEL?
The registry entry for BRENDA MARIE HEISSENBUETTEL shows NPI 1174821342.
Is BRENDA MARIE HEISSENBUETTEL currently accepting referrals based on NPI status?
Registry metadata lists BRENDA MARIE HEISSENBUETTEL as active.
What type of care does BRENDA MARIE HEISSENBUETTEL provide?
BRENDA MARIE HEISSENBUETTEL's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRENDA MARIE HEISSENBUETTEL?
BRENDA MARIE HEISSENBUETTEL is associated with Wyandotte, Michigan in the same public data insurers reference.
Can I export BRENDA MARIE HEISSENBUETTEL's record?
You can download the official NPPES record; we summarize key fields for readability.

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