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MINDFUL SYNERGY
NPI 1013583632
Social Worker - Clinical in Detroit, MI

Active since June 03, 2021
19120 GRAND RIVER AVE, DETROIT, MI 48223(313) 999-3659 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 20, 2026, Jun 3, 2021 (2 updates tracked since 2021).

About Mindful Synergy NPPES

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

MINDFUL SYNERGY (NPI 1013583632) is a healthcare organization registered as a clinical in Detroit, Michigan and active in the NPI registry since June 2021. The organization lists Irena J Glover, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1013583632
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL SYNERGY
Location Address19120 GRAND RIVER AVEDetroit, MI 48223
Mailing Address18701 Grand River Ave # 243Detroit, MI 48223-2214 · (313) 999-3659
Phone(313) 999-3659
Organization SubpartNo
Authorized OfficialIrena J GloverTherapist/owner · (313) 608-9512
Enumeration DateJune 3, 2021
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1013583632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
19120 GRAND RIVER AVE, Detroit, MI 48223
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Mindful Synergy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Synergy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Irena Glover, PHD, LMSW
Clinical Social Worker
NPI 1518323021
3011 W GRAND BLVD STE 1507
Detroit, MI 48202
(313) 608-9512
✔ PECOS8.5 mi

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

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 Mindful Synergy's NPI number?

The NPI number for Mindful Synergy is 1013583632. It was assigned to this organization in the NPPES registry on June 3, 2021.

Where is Mindful Synergy located?

Mindful Synergy is located at 19120 Grand River Ave, Detroit, MI 48223. The listed phone number is (313) 999-3659.

What is Mindful Synergy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mindful Synergy enrolled in Medicare?

Yes. Mindful Synergy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Synergy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful Synergy. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindful Synergy accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mindful Synergy 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 Mindful Synergy was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.