Individual provider Active NPI

Milinda Kaye Cuddeback, LPC

  • Professional Counselor
  • Cadillac, MI
National Provider Identifier
1093170094
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013006 Issued in MI
Practice address
805 S Carmel St
Cadillac, MI 49601-2344
Phone
(231) 775-6517
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013006 MI Primary

Addresses

Primary practice location

805 S Carmel St
Cadillac, MI 49601-2344

Mailing address

805 S Carmel St
Cadillac, MI 49601-2344
Phone (231) 775-6517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001679 MI Practitioner - Mental Health Counselor 6800248675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2135 S 37 Rd
Cadillac, MI 49601-8270
Phone (231) 920-5609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milinda's Counseling Services, LLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Saige Twombly Psychology PLLC PastSince Aug 18, 2024 Accepting new patients

Locations

8660 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 846-8191

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1093170094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012344",
            "telephone_number": "231-775-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012344",
            "telephone_number": "231-775-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDEBACK",
        "first_name": "MILINDA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.