Blue Lake Counseling Pllc - Medicare Mental Health Clinic in Kimball, MI

Blue Lake Counseling Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Kimball, Michigan. The current practice location for Blue Lake Counseling Pllc is 2079 Edward Ln E, Kimball, Michigan. For appointments, you can reach them via phone at (810) 666-5033. The mailing address for Blue Lake Counseling Pllc is 2079 Edward Ln E, Kimball, Michigan and phone number is (810) 666-5033.

Blue Lake Counseling Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346853108. 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 (810) 666-5033.

Contact Information

Blue Lake Counseling Pllc
2079 Edward Ln E
Kimball
MI 48074-1925
(810) 666-5033
Not Available

Mental Health Clinic Profile

Full NameBlue Lake Counseling Pllc
SpecialitySocial Worker
Location2079 Edward Ln E, Kimball, Michigan
Authorized Official Name and PositionHeather Renee Miller (OWNER)
Authorized Official Contact8106665033
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blue Lake Counseling Pllc
2079 Edward Ln E
Kimball
MI 48074-1925

Ph: (810) 666-5033
Blue Lake Counseling Pllc
2079 Edward Ln E
Kimball
MI 48074-1925

Ph: (810) 666-5033

NPI Details:

NPI Number1346853108
Provider Enumeration Date08/31/2020
Last Update Date08/31/2020
Certification Date08/31/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6305265646
Medicare Enrollment IDO20201006001145

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Medical Identifiers

Medical identifiers for Blue Lake Counseling Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346853108NPI-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. Blue Lake Counseling Pllc acts as a billing entity for following providers:
Provider NameHeather Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164790747
PECOS PAC ID: 4688841844
Enrollment ID: I20120111000862

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Social Worker in Kimball, MI

Nancy Rietdorf Phd Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2837 Stable Dr, Suite B, Kimball, MI 48074
Phone: 810-985-8000    Fax: 810-985-8044

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