MR. PATRICK THOMAS BYRNES (LLPC) – Professional Counselor, NPI 1376052290

MR. PATRICK THOMAS BYRNES (LLPC) is a healthcare provider. based in Saint joseph, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LLPC. They hold a License No. 180012756 (IL). The NPI Number for MR. PATRICK THOMAS BYRNES (LLPC) is 1376052290

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK THOMAS BYRNES (LLPC)
NPI
1376052290
Phone
(269) 408-1688
Address
1030 MINERS RD
Enumeration Date
22 September 2017
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694081688
Graduation Year
2016 (10 years ago)
PAC ID
7719338201
Group Practice PAC ID
5799729265
Professional Enrollment ID
I20240109003162
Address ID
MI490853100SA415XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:8State licenses:3Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for MR. PATRICK THOMAS BYRNES (LLPC)

  • 1030 MINERS RD

    SAINT JOSEPH, MI 490859625

    Phone: (269) 408-1688

    Mailing address matches the actual address.

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: 2024-01-09

PECOS data refreshed: 2026-05-27

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
I20240109003162IMental 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 49085)

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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: 5799729265View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
-MI
Physician AssistantMI
-OK
-MI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. PATRICK THOMAS BYRNES (LLPC)'s NPI?
Yes. MR. PATRICK THOMAS BYRNES (LLPC) is listed with NPI 1376052290 in the public NPI dataset.
Does CMS list MR. PATRICK THOMAS BYRNES (LLPC) as active?
Yes — MR. PATRICK THOMAS BYRNES (LLPC) is active in the NPI listing used on this page.
What taxonomy line describes MR. PATRICK THOMAS BYRNES (LLPC)?
For research purposes, treat MR. PATRICK THOMAS BYRNES (LLPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MR. PATRICK THOMAS BYRNES (LLPC)?
MR. PATRICK THOMAS BYRNES (LLPC)'s geographic hint is Saint Joseph, Michigan in our summary view.
Why does MR. PATRICK THOMAS BYRNES (LLPC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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