Individual provider Active NPI

Robin Mitchell, LPC

  • Professional Counselor
  • Goodrich, MI
National Provider Identifier
1972338333
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401003875 Issued in MI
Practice address
4270 Gregory Rd
Goodrich, MI 48438-9649
Phone
(810) 614-6083
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401003875 MI Primary

Addresses

Primary practice location

4270 Gregory Rd
Goodrich, MI 48438-9649

Mailing address

4270 Gregory Rd
Goodrich, MI 48438-9649
Phone (810) 614-6083

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
I20241019000033 MI Practitioner - Mental Health Counselor 5092247791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Central Michigan College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Behavioral Clinic LLCGroup PAC ID 0446503130, 13 clinicians

Practice addresses (Care Compare)

210 W Highland Rd
Suite 102
Highland, MI 48357-4573
Phone (248) 529-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401003875MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Clinic LLC CurrentSince Sep 1, 2024 Accepting new patients
Robin K. Mitchell LPC LLC Professional CurrentSince Sep 8, 2024 Accepting new patients

Locations

210 W Highland Rd
Ste 102
Highland, MI 48357
Phone (248) 529-3167

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1972338333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 GREGORY RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389649",
            "telephone_number": "810-614-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 GREGORY RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389649",
            "telephone_number": "810-614-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROBIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodrich, MI

Sources for this page

Verify at the official NPI Registry.