Revived Mind Counseling Services - Medicare Mental Health Clinic in Okemos, MI

Revived Mind Counseling Services is a medicare enrolled mental health clinic (Social Worker) in Okemos, Michigan. The current practice location for Revived Mind Counseling Services is 2705 Tapestry Dr, Okemos, Michigan. For appointments, you can reach them via phone at (517) 930-9950. The mailing address for Revived Mind Counseling Services is 2705 Tapestry Dr, Okemos, Michigan and phone number is (517) 930-9950.

Revived Mind Counseling Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083323570. 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 (517) 930-9950.

Contact Information

Revived Mind Counseling Services
2705 Tapestry Dr
Okemos
MI 48864-4611
(517) 930-9950
(517) 323-9531

Mental Health Clinic Profile

Full NameRevived Mind Counseling Services
SpecialitySocial Worker
Location2705 Tapestry Dr, Okemos, Michigan
Authorized Official Name and PositionCathy Gallegos (CREDENTIALING MANAGER)
Authorized Official Contact5174832461
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revived Mind Counseling Services
2705 Tapestry Dr
Okemos
MI 48864-4611

Ph: (517) 930-9950
Revived Mind Counseling Services
2705 Tapestry Dr
Okemos
MI 48864-4611

Ph: (517) 930-9950

NPI Details:

NPI Number1083323570
Provider Enumeration Date11/23/2022
Last Update Date11/23/2022
Certification Date11/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0840661351
Medicare Enrollment IDO20230120000188

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Medical Identifiers

Medical identifiers for Revived Mind Counseling Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083323570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (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. Revived Mind Counseling Services acts as a billing entity for following providers:
Provider NameJeffrey Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720435290
PECOS PAC ID: 8820469331
Enrollment ID: I20230120000376

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Social Worker in Okemos, MI

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Practice Location: 4084 Okemos Rd, Okemos, MI 48864
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Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864
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Dr Lori Naughton Psy D Pc
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