TABITHA NICOLE MISKOKOMON LLPC
NPI 1255195558
Counselor - Mental Health in Clinton Township, MI
About Tabitha Nicole Miskokomon Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABITHA NICOLE MISKOKOMON LLPC (NPI 1255195558) is an individual mental health provider in Clinton Township, Michigan, licensed in Michigan (6451023453) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tabitha Nicole Miskokomon Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
CLINTON TOWNSHIP, MI 48036
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 Tabitha Miskokomon's NPI number?
The NPI number for Tabitha Miskokomon is 1255195558. It was assigned to this individual provider in the NPPES registry on February 8, 2024.
Where is Tabitha Miskokomon located?
Tabitha Miskokomon practices at 36975 Utica Rd, Clinton Township, MI 48036. The listed phone number is (586) 260-4209.
What is Tabitha Miskokomon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tabitha Miskokomon enrolled in Medicare?
Yes. Tabitha Miskokomon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tabitha Miskokomon was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Tabitha Nicole Miskokomon, LLPC · NPI 1255195558
Mental Health provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since February 8, 2024.
## Identity
- **NPI:** 1255195558 (Entity type: Individual)
- **Enumerated:** February 8, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6451023453 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 36975 UTICA RD, Clinton Township, MI 48036-1685
- **Phone:** (586) 260-4209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255195558) · Data from the CMS NPPES public registry.