Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chad Thomas Bousamra, MA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164694030

Chad Thomas Bousamra, MA is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2007, 19 years ago. Practices with Munson Medical Center, a 377-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1105 E Eighth St
Traverse City, MI 49686-2936
Phone: (231) 935-6787
Fax: (231) 935-6920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6401010758 (MI)

Record details

NPI number1164694030
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedMarch 31, 2008
Last updated in NPPESMarch 31, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Traverse City