TABITHA NICOLE MISKOKOMON LLPC
NPI 1255195558
Counselor - Mental Health in Clinton Township, MI

Active since February 08, 2024PECOS Enrolled
36975 UTICA RD, CLINTON TOWNSHIP, MI 48036(586) 260-4209 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Feb 8, 2024 (2 updates tracked since 2024).

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

NPI1255195558
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTABITHA NICOLE MISKOKOMONCredential: LLPC
Location Address36975 UTICA RDClinton Township, MI 48036-1685
Mailing Address36975 Utica RdClinton Township, MI 48036-1685 · (586) 649-3937
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 8, 2024
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1255195558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451023453
36975 UTICA RD, Clinton Township, MI 48036

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Nicole Miskokomon Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032692611
PECOS Enrollment IDI20260311003864
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 Tabitha Miskokomon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
36975 UTICA RD, SUITE 103
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group

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 14

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

Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, SUITE 100
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, STE 103
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Counselor (Professional)
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Family Medicine
36975 UTICA RD, SUITE 102
CLINTON TOWNSHIP, MI 48036
Dentist (Oral and Maxillofacial Surgery)
36975 UTICA RD, SUITE 106
CLINTON TOWNSHIP, MI 48036
Counselor (Addiction (Substance Use Disorder))
36975 UTICA RD
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.

Which organization bills Medicare for Tabitha Miskokomon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Miskokomon reassigns Medicare benefits to Macomb Family Services, Inc. (Clinton Township, 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 Tabitha Miskokomon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha Miskokomon accept?

Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Tabitha Miskokomon 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 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 2 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.