Intentional Life Therapy - Medicare Mental Health Clinic in Bowling Green, OH

Intentional Life Therapy is a medicare enrolled mental health clinic (Social Worker - Clinical) in Bowling Green, Ohio. The current practice location for Intentional Life Therapy is 10951 E Gypsy Lane Rd, Bowling Green, Ohio. For appointments, you can reach them via phone at (419) 913-4255. The mailing address for Intentional Life Therapy is 9895 Huffman Rd, Portage, Ohio and phone number is (419) 913-4255.

Intentional Life Therapy is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265180285. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (419) 913-4255.

Contact Information

Intentional Life Therapy
10951 E Gypsy Lane Rd
Bowling Green
OH 43402-9565
(419) 913-4255
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameIntentional Life Therapy
SpecialitySocial Worker
Location10951 E Gypsy Lane Rd, Bowling Green, Ohio
Authorized Official Name and PositionNicole Flores-mccune (OWNER/PROVIDER)
Authorized Official Contact4199134255
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Intentional Life Therapy
9895 Huffman Rd
Portage
OH 43451-9739

Ph: (419) 913-4255
Intentional Life Therapy
10951 E Gypsy Lane Rd
Bowling Green
OH 43402-9565

Ph: (419) 913-4255

NPI Details:

NPI Number1265180285
Provider Enumeration Date03/17/2022
Last Update Date04/25/2022
Certification Date04/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244627875
Medicare Enrollment IDO20220428000869

Medical Identifiers

Medical identifiers for Intentional Life Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265180285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Intentional Life Therapy acts as a billing entity for following providers:
Provider NameNicole Flores-mccune
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639166051
PECOS PAC ID: 7012269715
Enrollment ID: I20181008002141

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.