A PATH TO PEACE LLC
NPI 1083259345
Counselor - Professional in Detroit, MI

Active since November 11, 2019
1010 ANTIETAM AVE, DETROIT, MI 48207(231) 343-0630 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2020, Nov 11, 2019 (2 updates tracked since 2019).

About A Path To Peace Llc NPPES

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

A PATH TO PEACE LLC (NPI 1083259345) is a healthcare organization registered as a professional in Detroit, Michigan and active in the NPI registry since November 2019. The organization lists Melba Lynette Clark, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1083259345
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameA PATH TO PEACE LLC
Location Address1010 ANTIETAM AVEDetroit, MI 48207-2832
Mailing Address9339 Pine StTaylor, MI 48180-3419 · (231) 343-0630
Organization SubpartNo
Authorized OfficialMelba Lynette ClarkLicensed Professional Counselor · (231) 343-0630
Enumeration DateNovember 11, 2019
Last NPPES UpdateFebruary 7, 20202 updates tracked since enumeration
✔ NPI 1083259345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1010 ANTIETAM AVE, Detroit, MI 48207

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Path To Peace Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to A Path To Peace LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Mental Health Counselor
NPI 1073158317
1010 ANTIETAM AVE
Detroit, MI 48207
(313) 303-7585
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1366165540
2939 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS0.6 mi
Mental Health Counselor
NPI 1093155707
79 W ALEXANDRINE ST
Detroit, MI 48201
(313) 831-5535
✔ PECOS1.3 mi
Mental Health Counselor
NPI 1477127611
30000 HIVELEY ST
Inkster, MI 48141
(313) 218-6832
✔ PECOS15 mi
Mental Health Counselor
NPI 1083249536
27777 INKSTER RD STE 100
Farmington Hills, MI 48334
(248) 299-0030
✔ PECOS18 mi
Mental Health Counselor
NPI 1861711293
36975 MCKINNEY AVE APT 301
Westland, MI 48185
(313) 919-3955
✔ PECOS19 mi
Mental Health Counselor
NPI 1841084266
4542 OLD FREDERICK RD
Baltimore, MD 21229
(231) 578-6522
✔ PECOS

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 A Path To Peace LLC's NPI number?

The NPI number for A Path To Peace LLC is 1083259345. It was assigned to this organization in the NPPES registry on November 11, 2019.

Where is A Path To Peace LLC located?

A Path To Peace LLC is located at 1010 Antietam Ave, Detroit, MI 48207. The listed phone number is (231) 343-0630.

What is A Path To Peace LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is A Path To Peace LLC enrolled in Medicare?

Yes. A Path To Peace LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Path To Peace LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Mental Health Counselor, reassign their Medicare billing to A Path To Peace 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does A Path To Peace LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list A Path To Peace 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 A Path To Peace LLC was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.