Tabitha Nicole Miskokomon, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023453 Issued in MI

Practice address

36975 Utica Rd
Clinton Township, MI 48036-1685

Phone

(586) 260-4209

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701
  Medicare reassignment NPD

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1255195558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 UTICA RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361685",
            "telephone_number": "586-649-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36975 UTICA RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361685",
            "telephone_number": "586-260-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOKOMON",
        "first_name": "TABITHA",
        "middle_name": "NICOLE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie L Mirisciotti, PHARMD
• Richard J Mirowski, P.C
• Iram Mirza, M.D.
• Mark Mishack, MD
• Tyana Misiuda, NP
• Mission Podiatry PLLC
• Mission Podiatry PLLC
• Mission Point of Clinton Township LLC (Mission Point Nursing & Physical Rehabilitation Center of Clinton Twp)
• Mariah Mitchell
• Lauren Elizabeth Mittig, M.D.

• Mental Health Counselor in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.