Individual provider

Chad Bousamra, M.A.

Addiction (Substance Use Disorder) Counselor Medicare enrolled

Chad Bousamra, M.A. is an Addiction (Substance Use Disorder) Counselor in Traverse City, MI, registered under NPI 1164694030. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1105 E EIGHTH ST, Traverse City, MI 49686. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1105 E EIGHTH ST, Traverse City, MI 49686 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6401010758 MI Addiction (Substance Use Disorder)… primary

This provider holds licence 6401010758 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
0446601280
Enrollment ID
I20240105003229

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164694030 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 31, 2008
Last updatedMar 31, 2008
StatusActive
Sole proprietorYes
CredentialM.A.
Practice address 1105 E EIGHTH ST
Traverse City, MI 49686
(231) 935-6787
Fax (231) 935-6920
This record was last updated on Mar 31, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1164694030 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 6 9 4 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 3 9 8 0 6

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164694030?
NPI 1164694030 is the National Provider Identifier assigned to Chad Bousamra, M.A. in Traverse City, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Chad Bousamra, M.A.?
The phone number on file with NPPES is (231) 935-6787, last updated Mar 31, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Chad Bousamra, M.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164694030 a valid number?
Yes. 1164694030 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.