Organization Active NPI

Envision Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Okemos, MI
National Provider Identifier
1053920561
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ENVISION THERAPY SERVICES, LLC
Practice address
4265 Okemos Rd Ste C
Okemos, MI 48864-3285
Phone
(517) 234-4322
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara A Bohne, LMSWNPI 1689631202
Title
Owner, Therapist
Phone
(517) 234-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4265 Okemos Rd Ste C
Okemos, MI 48864-3285

Mailing address

4265 Okemos Rd Ste C
Okemos, MI 48864-3285
Phone (517) 234-4322

Other names 1

  • Envision Therapy Services, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001009 MI Part B Supplier - Clinic/Group Practice 4183035561 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

1745 Hamilton Rd
Ste 355
Okemos, MI 48864
Phone (517) 708-0017

4265 Okemos Rd
Ste C
Okemos, MI 48864
Phone (517) 212-4044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1053920561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 OKEMOS RD STE C",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643285",
            "telephone_number": "517-234-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 OKEMOS RD STE C",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643285",
            "telephone_number": "517-234-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "517-234-4322",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Envision Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.