NPIMap

Organization Active NPI

Behavioral Wellness Center LLC

  • Counselor
  • Hillsdale, MI
National Provider Identifier
1174281364
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BEHAVIORAL WELLNESS CENTER LLC
Practice address
1360 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone
(517) 826-5242
Fax
(517) 826-5246
NPI assigned
Dec 4, 2021
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Samantha A Corey, MANPI 1982818977
Title
Owner/Psychologist
Phone
(517) 826-5242

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1360 S Hillsdale Rd
Hillsdale, MI 49242-9367

Mailing address

PO Box 174
Jonesville, MI 49250-0174

Other names 1

  • samantha corey Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105002234 MI Part B Supplier - Clinic/Group Practice 8527459304 Receives reassigned benefits from 6 practitioners
Practice locations: Hillsdale, MI

National Provider Directory

National Provider Directory

Locations

211 Harley St
Jonesville, MI 49250
Phone (517) 849-2411

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1174281364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492500174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429367",
            "telephone_number": "517-826-5242",
            "fax_number": "517-826-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-826-5242",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "samantha corey",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "samantha corey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.