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Active NPI 1780750844 Individual Practitioner Male Practitioner

Mark S Walstrom , LPC

Counselor - Professional • Ada, MI

Professional Overview & Biography Verified Profile Summary

Mark Walstrom, LPC is a registered healthcare professional specializing in Counselor - Professional in Ada, MI. Practice services are available at 967 SPAULDING AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

967 Spaulding Ave Se
Suite E

Ada, MI 493013700

Telephone 6166332170
Associated Practice Facility / Clinic
🏢 Dr. Julia A. Mohr, Plc Facility NPI 1508999277

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ada, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Ada, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401003116

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Kathleen Cramer , PhD, LP

Psychologist - Clinical

NPI 1083765812

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1548393283

Doctor of Psychology (Psy.D.)

NPI 1568608230

Doctor of Philosophy (Ph.D.)

Dr. Robert Funaro , EdD

Psychologist - Clinical

NPI 1568714863

Doctor of Education (Ed.D.)

NPI 1699904193

Licensed Limited Psychologist

Denise Hames , MSW

Social Worker - Clinical

NPI 1982730040

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2009

Registered at 967 SPAULDING AVE SE, SUITE E, ADA, MI 493013700 (Tel: 6166332170)

📍
Updated Business Mailing Address January 26, 2009

Registered at 967 SPAULDING AVE SE, SUITE E, ADA, MI 493013700 (Tel: 6166332170)

👤
Provider Name / Credentials Updated January 26, 2009

Recorded as MARK WALSTROM, L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2009

Counselor (License #6401003116 in MI)

🟢
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780750844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: January 26, 2009
Sole Proprietor: Yes

Mailing Address

967 Spaulding Ave Se, Suite E

Ada, MI 493013700

Phone: 6166332170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.