Beyond Mindful Counseling and Wellness

Key facts

NPI: 1184258337
Entity type: Organization (NPI type 2)
Primary specialty: Professional Counselor 101YP2500X
Legal business name: BEYOND MINDFUL COUNSELING AND WELLNESS
Practice address: 169 W Clarkston Rd
Lake Orion, MI 48362-2893
Phone: (248) 978-5625
NPI assigned: Feb 26, 2020
Organization subpart: No

Authorized official

Name: Rachelle Kristen Campbell, LPC NPI 1356503361
Title: Owner
Phone: (248) 978-5625

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

Practitioners 1

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

Rachelle Kristen Campbell, LPC Professional Counselor · Washington, MI · NPI 1356503361

Medicare reassignment NPD Authorized official MI · PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260507002174	MI	Part B Supplier - Clinic/Group Practice	3476021437	Receives reassigned benefits from 1 practitioner Practice locations: Lake Orion, MI

National Provider Directory

Locations

169 W Clarkston Rd
Lake Orion, MI 48362
Phone (248) 978-5625

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YP2500X			Yes

Addresses

Primary practice location

169 W Clarkston Rd
Lake Orion, MI 48362-2893

Mailing address

3651 Acadia Dr
Lake Orion, MI 48360-2723
Phone (248) 978-5625

Other providers in Lake Orion, MI

All providers in Lake Orion, MI · Professional Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.