Positive Mindset Therapy, LLC
Organization Active NPI Clinical Social Worker · Grass Lake, MI
NPI 1740908474 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1740908474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- POSITIVE MINDSET THERAPY, LLC
- Practice address
- 12901 E Michigan Ave
Grass Lake, MI 49240-9283 - Phone
- (517) 240-1367
- NPI assigned
- Aug 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Juanita Kay Meyerink, LMSW
- Title
- Owner
- Phone
- (517) 240-1367
Practitioners 1
-
Juanita Kay Meyerink, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220912002703 | MI | Part B Supplier - Clinic/Group Practice | 2860877883 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MI |
National Provider Directory
Locations
180 W Michigan Ave
Ste 703
Jackson, MI 49201
Phone (517) 240-1367
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
12901 E Michigan Ave
Grass Lake, MI 49240-9283
Mailing address
12901 E Michigan Ave
Grass Lake, MI 49240-9283
Phone (517) 240-1367
Other providers in Grass Lake, MI
- Matthew F. Navarre
- Holleigh Neff
- Thera Nichols
- Melissa O'Neill
- Julie Lynn Pariseau
- Potocki Pediatric Dentistry PLLC
- Providence Hospital
- Todd R. Raehtz
- Rachel Rice
- Sandra R Richards
All providers in Grass Lake, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. 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.