ROBERT E ENNIS SR. LMSW
NPI 1063793594
Counselor - Mental Health in Flint, MI

Active since August 29, 2011PECOS EnrolledAccepts Medicare Assignment
129 E 3RD ST, FLINT, MI 48502(810) 233-4031(810) 237-4141 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert E Ennis Sr. Lmsw NPPES

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

ROBERT E ENNIS SR. LMSW (NPI 1063793594) is an individual mental health provider in Flint, Michigan, licensed in Michigan (6801010482) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1063793594
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT E ENNIS SR.Credential: LMSW
Location Address129 E 3RD STFlint, MI 48502-1728
Mailing Address12190 Silver Lake RdByron, MI 48418-9001 · (810) 233-4031 · Fax (810) 237-4141
Fax(810) 237-4141
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateAugust 29, 2011
NPI 1063793594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6801010482
Also ListedCounselorTaxonomy 101Y00000X · License 6801010482 (MI)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6801010482 (MI)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6801010482 (MI)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 6801010482 (MI)
129 E 3RD ST, Flint, MI 48502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert E Ennis Sr. Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941447080
PECOS Enrollment IDI20130625000313
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
129 E 3RD ST
FLINT, MI 48502
Community/Behavioral Health
129 E 3RD ST
FLINT, MI 48502
Social Worker (Clinical)
129 E 3RD ST
FLINT, MI 48502
Community/Behavioral Health
129 E 3RD ST
FLINT, MI 48502
Counselor (Professional)
129 E 3RD ST
FLINT, MI 48502
Counselor (Professional)
129 E 3RD ST
FLINT, MI 48502
Counselor (Professional)
129 E 3RD ST
FLINT, MI 48502
Social Worker (Clinical)
129 E 3RD ST
FLINT, MI 48502

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 Robert Ennis's NPI number?

The NPI number for Robert Ennis is 1063793594. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Robert Ennis located?

Robert Ennis practices at 129 E 3rd St, Flint, MI 48502. The listed phone number is (810) 233-4031.

What is Robert Ennis's specialty?

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

Is Robert Ennis enrolled in Medicare?

Yes. Robert Ennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Ennis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Robert Ennis 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 Robert Ennis was last updated on August 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.