MIP SVC LLC
NPI 1063288512
Clinic/Center - Mental Health (Including Community Mental Health Center) in Houston, TX
About Mip Svc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIP SVC LLC (NPI 1063288512) is a healthcare organization registered as a mental health (including community mental health center) in Houston, Texas and active in the NPI registry since November 2023. The organization lists Dina Kushaliyeva, Co-founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Mip Svc Llc 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 Mip Svc LLC, 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 Mip Svc LLC's NPI number?
The NPI number for Mip Svc LLC is 1063288512. It was assigned to this organization in the NPPES registry on November 27, 2023.
Where is Mip Svc LLC located?
Mip Svc LLC is located at 2200 North Loop W Ste 106, Houston, TX 77018. The listed phone number is (832) 219-8536.
What is Mip Svc LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mip Svc LLC enrolled in Medicare?
Yes. Mip Svc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mip Svc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mip Svc LLC. 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 Mip Svc LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Mip Svc 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 Mip Svc LLC was last updated on November 29, 2023. 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.
# Mip Svc Llc · NPI 1063288512
Mental Health (Including Community Mental Health Center) organization in Houston, Texas. Organization record, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1063288512 (Entity type: Organization)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Dina Kushaliyeva, CO-FOUNDER
## Practice location
- **Address:** 2200 NORTH LOOP W STE 106, Houston, TX 77018-1754
- **Phone:** (832) 219-8536
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1063288512) · Data from the CMS NPPES public registry.