Mindful Therapy, Llc is a medicare enrolled mental health clinic (Counselor - Addiction (substance Use Disorder)) in Ithaca, Michigan. The current practice location for Mindful Therapy, Llc is 122 N Maple St, Ithaca, Michigan. For appointments, you can reach them via phone at (989) 388-4185. The mailing address for Mindful Therapy, Llc is 122 N Maple St, Ithaca, Michigan and phone number is (989) 388-4185.
Mindful Therapy, Llc is licensed to practice in Michigan (license number SA0290035). The clinic also participates in the medicare program and its NPI number is 1467980300. 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 (989) 388-4185.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Mindful Therapy, Llc 122 N Maple St Ithaca MI 48847-1024 Ph: (989) 388-4185
Mindful Therapy, Llc 122 N Maple St Ithaca MI 48847-1024 Ph: (989) 388-4185
NPI Details:
NPI Number
1467980300
Provider Enumeration Date
05/23/2017
Last Update Date
03/17/2018
Medicare PECOS Information:
Medicare PECOS PAC ID
6608144084
Medicare Enrollment ID
O20170608001567
Medical Identifiers
Medical identifiers for Mindful Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1467980300
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YA0400X
Counselor - Addiction (substance Use Disorder)
SA0290035 (Michigan)
Secondary
101YA0400X
Counselor - Addiction (substance Use Disorder)
SA0190019 (Michigan)
Secondary
101YM0800X
Counselor - Mental Health
SA0290035 (Michigan)
Secondary
101YM0800X
Counselor - Mental Health
SA0190019 (Michigan)
Secondary
171M00000X
Case Manager/care Coordinator
SA0290035 (Michigan)
Secondary
171M00000X
Case Manager/care Coordinator
SA0190019 (Michigan)
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mindful Therapy, Llc acts as a billing entity for following providers:
Trauma And Addiction Solutions Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 121 N Pine River St, Ithaca, MI 48847 Phone: 989-287-0662