MACKENZIE MICHAEL CRANDALL LLPC, MA, TLLP
NPI 1003514019
Counselor in Clarkston, MI
About Mackenzie Michael Crandall Llpc, Ma, Tllp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE MICHAEL CRANDALL LLPC, MA, TLLP (NPI 1003514019) is an individual counselor in Clarkston, Michigan, licensed in Michigan (6451022802) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Michael Crandall Llpc, Ma, Tllp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Crandall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarkston, MI 48346
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLARKSTON, MI 48346
CLARKSTON, MI 48346
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mackenzie Crandall's NPI number?
The NPI number for Mackenzie Crandall is 1003514019. It was assigned to this individual provider in the NPPES registry on February 20, 2023.
Where is Mackenzie Crandall located?
Mackenzie Crandall practices at 5980 S Main St Ste 101, Clarkston, MI 48346. The listed phone number is (248) 625-2970.
What is Mackenzie Crandall's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Mackenzie Crandall enrolled in Medicare?
Yes. Mackenzie Crandall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mackenzie Crandall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Crandall reassigns Medicare benefits to Kindmind Behavioral Health (Clarkston, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Crandall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Crandall accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mackenzie Crandall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mackenzie Crandall was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mackenzie Michael Crandall, LLPC, MA, TLLP · NPI 1003514019
Counselor provider in Clarkston, Michigan. Individual provider, active in the CMS NPPES registry since February 20, 2023.
## Identity
- **NPI:** 1003514019 (Entity type: Individual)
- **Enumerated:** February 20, 2023
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 6451022802 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5980 S MAIN ST STE 101, Clarkston, MI 48346-2377
- **Phone:** (248) 625-2970
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kindmind Behavioral Health (NPI 1730897711, Clarkston, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003514019) · Data from the CMS NPPES public registry.