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MANTYCH PSYCHOTHERAPY, LLC
NPI 1144703182
Social Worker - Clinical in North Muskegon, MI

Active since September 14, 2018
1810 RUDDIMAN DR STE F, NORTH MUSKEGON, MI 49445(616) 843-0623 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Oct 2, 2023, Aug 18, 2022 and 5 more (8 updates tracked since 2018).

About Mantych Psychotherapy, Llc NPPES

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

MANTYCH PSYCHOTHERAPY, LLC (NPI 1144703182), doing business as Anne Tyson, Lmsw Llc, is a healthcare organization registered as a clinical in North Muskegon, Michigan and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Muskegon and lists Anne Tyson, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1144703182
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMANTYCH PSYCHOTHERAPY, LLC
Location Address1810 RUDDIMAN DR STE FNorth Muskegon, MI 49445-3172
Mailing Address1154 Cadillac DrMuskegon, MI 49445-1917 · (616) 843-0623 · Fax (616) 600-0259
Phone(616) 843-0623
Organization SubpartNo
Authorized OfficialAnne TysonOwner/clinician · (616) 843-0623
Enumeration DateSeptember 14, 2018
Last NPPES UpdateMarch 4, 20268 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1144703182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1810 RUDDIMAN DR STE F, North Muskegon, MI 49445
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Other Names 1

Doing Business AsAnne Tyson, Lmsw Llc

Secondary Practice Location 1

Location 11154 Cadillac DrMuskegon, MI 49445-1917 · Phone (616) 843-0623 · Fax (616) 600-0259

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)

Mantych Psychotherapy, 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 Mantych Psychotherapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anne Tyson, LMSW
Clinical Social Worker
NPI 1447472915
300 W BROADWAY AVE
Scottville, MI 49454
(616) 267-0785
✔ PECOS✔ Accepts Medicare48 mi

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 Mantych Psychotherapy, LLC's NPI number?

The NPI number for Mantych Psychotherapy, LLC is 1144703182. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Anne Tyson, LMSW LLC.

Where is Mantych Psychotherapy, LLC located?

Mantych Psychotherapy, LLC is located at 1810 Ruddiman Dr Ste F, North Muskegon, MI 49445. The listed phone number is (616) 843-0623.

What is Mantych Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mantych Psychotherapy, LLC enrolled in Medicare?

Yes. Mantych Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mantych Psychotherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mantych Psychotherapy, 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 Mantych Psychotherapy, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mantych Psychotherapy, 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 Mantych Psychotherapy, LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.