WRINKLES OF WISDOM SENIOR MENTAL HEALTH SERVICES
NPI 1245090455
Counselor - Professional in Davison, MI

Active since March 22, 2024
1063 S STATE RD STE 6, DAVISON, MI 48423(810) 691-0759(810) 828-5912 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wrinkles Of Wisdom Senior Mental Health Services NPPES

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

WRINKLES OF WISDOM SENIOR MENTAL HEALTH SERVICES (NPI 1245090455) is a healthcare organization registered as a professional in Davison, Michigan and active in the NPI registry since March 2024. The organization maintains 2 additional practice locations and lists Pamela Linn, Owner, as its authorized official.

NPPES Registry Identity

NPI1245090455
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWRINKLES OF WISDOM SENIOR MENTAL HEALTH SERVICES
Location Address1063 S STATE RD STE 6Davison, MI 48423-1900
Mailing Address6535 Placid CtClarkston, MI 48348-4557 · (810) 691-0759
Fax(810) 828-5912
Organization SubpartNo
Authorized OfficialPamela LinnOwner · (801) 691-0759
Enumeration DateMarch 22, 2024
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1245090455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1063 S STATE RD STE 6, Davison, MI 48423

Secondary Practice Locations 2

Location 15080 Baldwin RdHolly, MI 48442-9364 · Phone (810) 691-0759
Location 26535 Placid CtClarkston, MI 48348-4557 · Phone (810) 691-0759

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)

Wrinkles Of Wisdom Senior Mental Health Services 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 Wrinkles Of Wisdom Senior Mental Health Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1841681459
1063 S STATE RD STE 6
Davison, MI 48423
(810) 691-0759
✔ 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 Wrinkles Of Wisdom Senior Mental Health Services's NPI number?

The NPI number for Wrinkles Of Wisdom Senior Mental Health Services is 1245090455. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Wrinkles Of Wisdom Senior Mental Health Services located?

Wrinkles Of Wisdom Senior Mental Health Services is located at 1063 S State Rd Ste 6, Davison, MI 48423. The listed phone number is (810) 691-0759.

What is Wrinkles Of Wisdom Senior Mental Health Services's specialty?

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

Is Wrinkles Of Wisdom Senior Mental Health Services enrolled in Medicare?

Yes. Wrinkles Of Wisdom Senior Mental Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wrinkles Of Wisdom Senior Mental Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wrinkles Of Wisdom Senior Mental Health Services. 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 Wrinkles Of Wisdom Senior Mental Health Services accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wrinkles Of Wisdom Senior Mental Health Services 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 Wrinkles Of Wisdom Senior Mental Health Services was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.