Rachel Mroz, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015942 Issued in MI

Practice address

2360 Mentone St
Wolverine Lake, MI 48390-1858

Phone

(248) 535-7707

NPI assigned

Dec 3, 2017

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

Oakland Univ, William Beaumont School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum BalanceGroup PAC ID 9739418351, 6 clinicians

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 and National Provider Directory roles.

• Optimum Balance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fenton, MI
  • NPI 1245767888
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512259200000",
    "number": "1750896536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MENTONE ST",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483901858",
            "telephone_number": "248-535-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MENTONE ST",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483901858",
            "telephone_number": "248-535-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "RACHEL",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2017-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Get Mind & Body Healthy LLC
• Carissa Karanth, LPC
• Nadia Lynn Kurtzhals
• Jamie Lancaster
• Ashley Jane-Marie Lyon, MA, LPC, ATR
• Anthony Nnadi
• Kachena Patterson, LPN
• Erin Michelle Quillman, LMT, CLT, COTA
• Dayla Sanders
• Ginger Schmandt, MA

• Mental Health Counselor in Wolverine Lake, MI
• Providers in Wolverine Lake, 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 Dec 3, 2017; 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.