Mindy Lynne Hodge, BS, LMSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801120857 Issued in MI

Practice address

204 Meadows Dr
Grayling, MI 49738-2013

Phone

(231) 633-0465

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mindy Lynne Debo Former name

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

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Lakes Community Mental Health AuthorityGroup PAC ID 8022921154, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Northern Lakes Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Traverse City, MI
  • NPI 1669572657
  Medicare reassignment Care Compare group NPD
• Northern Lakes Community Mental Health Authority

  • Clinic/Center
  • Traverse City, MI
  • NPI 1417481136
  NPD
• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mount Pleasant, MI
  • NPI 1598932253
  NPD (past)
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1992272256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "231-633-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "231-633-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2236 E Mitchell Rd #5",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "49770",
            "country_code": "US",
            "telephone_number": "231-347-9880",
            "fax_number": "231-347-9313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1879 E Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "MI",
            "postal_code": "486218705",
            "country_code": "US",
            "telephone_number": "989-785-4855",
            "fax_number": "989-318-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MINDY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "BS, LMSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851101698",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120857",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-02017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "DEBO",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Elizabeth Hawkins, CLINICAL SOCIAL WORK
• Athena M Helinski, PA
• Carolyn Hellebuyck, RN
• Danna Hendrickson
• Paula Gene Herzog, MS, LPC
• Katelyn Hoeksema, LLMSW
• Holly Loa Holm
• Carol Ann Holmden, NP
• William B. Holscher, PA-C
• Dylan Honsinger

• Clinical Social Worker in Grayling, MI
• Providers in Grayling, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.