INTEGRATED HEALTH CLINICAL COUNSELING P.L.L.C.
NPI 1053833566
Counselor - Mental Health in Ponte Vedra, FL

Active since July 17, 2017
90 FORT WADE RD STE 100, PONTE VEDRA, FL 32081(734) 720-9782(734) 571-6888 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Jul 17, 2017 (2 updates tracked since 2017).

About Integrated Health Clinical Counseling P.l.l.c. NPPES

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

INTEGRATED HEALTH CLINICAL COUNSELING P.L.L.C. (NPI 1053833566) is a healthcare organization registered as a mental health in Ponte Vedra, Florida and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Wyandotte and lists Karl Kunzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1053833566
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameINTEGRATED HEALTH CLINICAL COUNSELING P.L.L.C.
Location Address90 FORT WADE RD STE 100Ponte Vedra, FL 32081-5114
Mailing Address90 Fort Wade Rd Ste 100Ponte Vedra, FL 32081-5114 · (734) 787-2183 · Fax (734) 571-6888
Fax(734) 571-6888
Organization SubpartNo
Authorized OfficialKarl KunziOwner · (734) 720-9782
Enumeration DateJuly 17, 2017
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1053833566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
90 FORT WADE RD STE 100, Ponte Vedra, FL 32081

Secondary Practice Location 1

Location 12955 Biddle AveWyandotte, MI 48192-5231 · Phone (734) 720-9782 · Fax (734) 571-6888

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 Health Clinical Counseling P.l.l.c. 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 Integrated Health Clinical Counseling P.L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1215284229
90 FORT WADE RD STE 100
Ponte Vedra, FL 32081
(734) 720-9782
✔ PECOSSame address

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 Integrated Health Clinical Counseling P.L.L.C.'s NPI number?

The NPI number for Integrated Health Clinical Counseling P.L.L.C. is 1053833566. It was assigned to this organization in the NPPES registry on July 17, 2017.

Where is Integrated Health Clinical Counseling P.L.L.C. located?

Integrated Health Clinical Counseling P.L.L.C. is located at 90 Fort Wade Rd Ste 100, Ponte Vedra, FL 32081. The listed phone number is (734) 720-9782.

What is Integrated Health Clinical Counseling P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Integrated Health Clinical Counseling P.L.L.C. enrolled in Medicare?

Yes. Integrated Health Clinical Counseling P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Health Clinical Counseling P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Integrated Health Clinical Counseling P.L.L.C.. 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 Integrated Health Clinical Counseling P.L.L.C. 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 Health Clinical Counseling P.L.L.C. 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 Health Clinical Counseling P.L.L.C. was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.