SOUL GARDEN COUNSELING LLC
NPI 1073228805
Counselor in Owosso, MI

Q: What is Soul Garden Counseling LLC's NPI number?

The NPI number for Soul Garden Counseling LLC is 1073228805. It was assigned to this organization in the NPPES registry on January 17, 2023.

Q: What is Soul Garden Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since January 17, 2023

1953 KETEGAWN RD, OWOSSO, MI 48867(720) 220-8106 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Soul Garden Counseling Llc NPPES

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

SOUL GARDEN COUNSELING LLC (NPI 1073228805) is a healthcare organization registered as a counselor in Owosso, Michigan and active in the NPI registry since January 2023. The organization lists Mary Beth Houpt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1073228805

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameSOUL GARDEN COUNSELING LLC

Location Address1953 KETEGAWN RDOwosso, MI 48867-1529

Mailing Address1953 Ketegawn RdOwosso, MI 48867-1529

Phone(720) 220-8106

Organization SubpartNo

Authorized OfficialMary Beth HouptCredentialing · (517) 676-9797

Enumeration DateJanuary 17, 2023

Last NPPES UpdateJanuary 11, 2024

NPPES CertifiedJanuary 11, 2024

✔ NPI 1073228805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1953 KETEGAWN RD, Owosso, MI 48867

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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)

Soul Garden Counseling 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 Soul Garden Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kendra Docker, LPC

Mental Health Counselor

NPI 1699316976

1953 KETEGAWN RD
Owosso, MI 48867

(720) 220-8106

✔ PECOS✔ Accepts MedicareSame 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 Soul Garden Counseling LLC's NPI number?

The NPI number for Soul Garden Counseling LLC is 1073228805. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Soul Garden Counseling LLC located?

Soul Garden Counseling LLC is located at 1953 Ketegawn Rd, Owosso, MI 48867. The listed phone number is (720) 220-8106.

What is Soul Garden Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Soul Garden Counseling LLC enrolled in Medicare?

Yes. Soul Garden Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soul Garden Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Soul Garden Counseling 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 Soul Garden Counseling LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Soul Garden Counseling 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 Soul Garden Counseling LLC was last updated on January 11, 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.