INTEGRATED CARE CLINICIANS, LLC
NPI 1013558386
Clinic/Center - Methadone in Pontiac, MI

Active since October 08, 2019CLIA 23D2180226 · Waiver
989 UNIVERSITY DR, PONTIAC, MI 48342(248) 818-1249 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Care Clinicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CARE CLINICIANS, LLC (NPI 1013558386), doing business as Integrated Care Clinicans,llc, is a healthcare organization registered as a methadone in Pontiac, Michigan and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Barbrene Mahluli, President, as its authorized official.

NPPES Registry Identity

NPI1013558386
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameINTEGRATED CARE CLINICIANS, LLC
Location Address989 UNIVERSITY DRPontiac, MI 48342-1885
Mailing Address989 University DrPontiac, MI 48342-1885 · (248) 818-1249
Organization SubpartNo
Authorized OfficialBarbrene MahluliPresident · (313) 673-8636
Enumeration DateOctober 8, 2019
✔ NPI 1013558386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
989 UNIVERSITY DR, Pontiac, MI 48342

Other Names 1

Doing Business AsIntegrated Care Clinicans,llc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Care Clinicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Care Clinicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1336564285
30395 STELLAMAR ST
Beverly Hills, MI 48025
(313) 673-8636
✔ PECOS9.8 mi
Clinical Social Worker
NPI 1215115076
28119 GRAND DUKE DR
Farmington Hills, MI 48334
(248) 476-2229
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2180226

Integrated Care Clinicians LLC · Pontiac, MI
Active · expires Mar 9, 2028
CLIA Number23D2180226
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorBarbrene L. Mahluli
Laboratory Phone(248) 818-1249
Laboratory LocationIntegrated Care Clinicians LLC989 University Drive Suites 107 & 108, Pontiac, MI 48342
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Care Clinicians, LLC's NPI number?

The NPI number for Integrated Care Clinicians, LLC is 1013558386. It was assigned to this organization in the NPPES registry on October 8, 2019. The provider is doing business as Integrated Care Clinicans,LLC.

Where is Integrated Care Clinicians, LLC located?

Integrated Care Clinicians, LLC is located at 989 University Dr, Pontiac, MI 48342. The listed phone number is (248) 818-1249.

What is Integrated Care Clinicians, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Is Integrated Care Clinicians, LLC enrolled in Medicare?

Yes. Integrated Care Clinicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Care Clinicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Care Clinicians, LLC, in Clinical Social Worker and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Care Clinicians, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2180226) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Care Clinicians, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Integrated Care Clinicians, LLC 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 Integrated Care Clinicians, LLC was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.