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ADAM MAUSOLF LPC
NPI 1093030991
Counselor in Ann Arbor, MI

Active since April 02, 2010PECOS Enrolled
2750 S STATE ST, ANN ARBOR, MI 48104(734) 662-6300 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam Mausolf Lpc NPPES

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

ADAM MAUSOLF LPC (NPI 1093030991) is an individual counselor in Ann Arbor, Michigan and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093030991
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameADAM MAUSOLFCredential: LPC
Location Address2750 S STATE STAnn Arbor, MI 48104-6179
Mailing Address2769 Parkwood AveAnn Arbor, MI 48104-5353 · (231) 414-4433
Phone(734) 662-6300
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2010
Last NPPES UpdateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1093030991 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.
2750 S STATE ST, Ann Arbor, MI 48104
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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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Mausolf Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355820853
PECOS Enrollment IDI20260205000294
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.

Medicare Billing Reassignment

Medicare enrollment records show Adam Mausolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriving Minds Psychotherapy Services LLC
144 mi
Clinical
3088 SHEFFIELD ST STE A
Norton Shores, MI 49441
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1003635970 (231) 737-1212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

LAURA K LEISTER MS LLP
Psychologist
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
ROBERT JOHN HEJNA LSW, ACSW
Social Worker (Clinical)
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
SAHAN SALAT
Social Worker
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
KAI RICHMOND LLPC
Counselor
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
MRS. NATASHA R CLARK LMSW
Social Worker (Clinical)
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
ZAHRA SIDDIQUE
Counselor (Mental Health)
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300
DR. ZAKHOUR ISSA YOUSSEF PHD
Psychologist (Clinical)
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 769-3312
MS. BETH KAFKAKIS MA LLP
Psychologist
2750 S STATE ST
ANN ARBOR, MI 48104
Washtenaw County (734) 662-6300

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 Adam Mausolf's NPI number?

The NPI number for Adam Mausolf is 1093030991. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Adam Mausolf located?

Adam Mausolf practices at 2750 S State St, Ann Arbor, MI 48104. The listed phone number is (734) 662-6300.

What is Adam Mausolf's specialty?

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

Is Adam Mausolf enrolled in Medicare?

Yes. Adam Mausolf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Mausolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Mausolf reassigns Medicare benefits to Thriving Minds Psychotherapy Services LLC (Norton Shores, MI). The 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 Adam Mausolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Mausolf accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Adam Mausolf 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 Adam Mausolf was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.