STILLWATER TELETHERAPY PLLC
NPI 1023979358
Counselor - Mental Health in Traverse City, MI
About Stillwater Teletherapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STILLWATER TELETHERAPY PLLC (NPI 1023979358) is a healthcare organization registered as a mental health in Traverse City, Michigan and active in the NPI registry since November 2025. The organization lists Mary Mummaw, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Stillwater Teletherapy Pllc 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 Stillwater Teletherapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Stillwater Teletherapy PLLC's NPI number?
The NPI number for Stillwater Teletherapy PLLC is 1023979358. It was assigned to this organization in the NPPES registry on November 18, 2025.
Where is Stillwater Teletherapy PLLC located?
Stillwater Teletherapy PLLC is located at 10139 E Grandview Rd, Traverse City, MI 49684. The listed phone number is (989) 293-4927.
What is Stillwater Teletherapy PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stillwater Teletherapy PLLC enrolled in Medicare?
Yes. Stillwater Teletherapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stillwater Teletherapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Stillwater Teletherapy PLLC. 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 Stillwater Teletherapy PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Stillwater Teletherapy PLLC 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 Stillwater Teletherapy PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stillwater Teletherapy Pllc · NPI 1023979358
Mental Health organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1023979358 (Entity type: Organization)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Mary Mummaw, OWNER
## Practice location
- **Address:** 10139 E GRANDVIEW RD, Traverse City, MI 49684-5429
- **Phone:** (989) 293-4927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023979358) · Data from the CMS NPPES public registry.