INNOVATIVE BEHAVIORAL HEALTH
NPI 1164035051
Clinic/Center in Lansing, MI
About Innovative Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE BEHAVIORAL HEALTH (NPI 1164035051) is a healthcare organization registered as a clinic/center in Lansing, Michigan and active in the NPI registry since August 2020. The organization lists Ricardo David Tillery, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
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)
Innovative Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Behavioral Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Innovative Behavioral Health's NPI number?
The NPI number for Innovative Behavioral Health is 1164035051. It was assigned to this organization in the NPPES registry on August 28, 2020.
Where is Innovative Behavioral Health located?
Innovative Behavioral Health is located at 3721 W Michigan Ave Ste 200, Lansing, MI 48917. The listed phone number is (517) 515-6176.
What is Innovative Behavioral Health's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Innovative Behavioral Health enrolled in Medicare?
Yes. Innovative Behavioral Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Behavioral Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Innovative Behavioral Health. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Innovative Behavioral Health accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Innovative Behavioral Health 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 Innovative Behavioral Health was last updated on August 28, 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.
# Innovative Behavioral Health · NPI 1164035051
Clinic/Center organization in Lansing, Michigan. Organization record, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1164035051 (Entity type: Organization)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** Yes (part of Innovative Health Systems)
- **Authorized official:** Ricardo Tillery, CEO
## Practice location
- **Address:** 3721 W MICHIGAN AVE STE 200, Lansing, MI 48917-3600
- **Phone:** (517) 515-6176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164035051) · Data from the CMS NPPES public registry.