Chad Thomas Bousamra, M.A.
NPI 1164694030ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Traverse City, MI
Counselor, Addiction (Substance Use Disorder) (M.A.) with Munson Medical Center, practicing in Traverse City, Michigan. Enrolled in Medicare as practitioner - mental health counselor. Lists Munson Medical Center as a hospital affiliation.
Overview
| NPI | 1164694030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. |
| Sole proprietor | Yes |
| NPI issued | Mar 31, 2008 |
| Last updated in NPPES | Mar 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 6401010758 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Munson Medical CenterTraverse City, MI · 384 clinicians
Hospital affiliation
- Munson Medical CenterTraverse City, MI
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All 33 addiction counselors in Traverse City · All addiction counselors in Michigan