Individual provider Active NPI

Mindy Sue Binko, LLMSW

  • Mental Health Counselor
  • Gaylord, MI
National Provider Identifier
1780196006
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801101678 Issued in MI
Practice address
407 W Main Street
Gaylord, MI 49735
Phone
(989) 732-6448
Fax
(989) 731-0670
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801101678 MI Primary

Addresses

Primary practice location

407 W Main Street
Gaylord, MI 49735

Mailing address

PO Box 398
Gaylord, MI 49734-0398
Phone (989) 732-6448

Other identifiers 1

IdentifierTypeStateIssuer
6801101678OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240923002631 MI Practitioner - Clinical Social Worker 4284175852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Community Mental HealthGroup PAC ID 8820052095, 18 clinicians

Practice addresses (Care Compare)

1420 Plaza Dr
Petoskey, MI 49770-9420
Phone (231) 347-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101678MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Community Mental Health CurrentSince Aug 22, 2024 Accepting new patients
Northern Family Intervention Services, Inc. Past Accepting new patients
North Country Community Mental Health Past Accepting new patients

Locations

1420 Plaza Dr
Petoskey, MI 49770
Phone (231) 347-6701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1780196006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497340398",
            "telephone_number": "989-732-6448",
            "fax_number": "989-731-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W MAIN STREET",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-732-6448",
            "fax_number": "989-731-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKO",
        "first_name": "MINDY",
        "middle_name": "SUE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801101678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801101678",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.