ELLEN MBUNGU
NPI 1265076798
Social Worker - Clinical in Grand Rapids, MI

Active since October 28, 2019PECOS EnrolledAccepts Medicare Assignment
550 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 235-7272 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Dec 27, 2022, Oct 28, 2019 (3 updates tracked since 2019).

About Ellen Mbungu NPPES

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

ELLEN MBUNGU (NPI 1265076798) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801114607) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265076798
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN MBUNGU
Location Address550 CHERRY ST SEGrand Rapids, MI 49503-4748
Mailing Address1130 Billings Ct Se Apt 2bGrand Rapids, MI 49508-7388 · (920) 350-2404
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 28, 2019
Last NPPES UpdateApril 4, 20243 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1265076798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801114607
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801105656 (MI)
550 CHERRY ST SE, Grand Rapids, MI 49503

Secondary Practice Locations 3

Location 11308 N Burdick StKalamazoo, MI 49007-2503 · Phone (269) 349-2641
Location 2117 W Paterson StKalamazoo, MI 49007-2557 · Phone (269) 349-2641
Location 3505 E Alcott StKalamazoo, MI 49001-6144 · Phone (269) 349-2641

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ellen Mbungu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294113510
PECOS Enrollment IDI20220527000629
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Social Worker
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dental Hygienist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Dentist (General Practice)
550 CHERRY ST SE
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
550 CHERRY ST SE
GRAND RAPIDS, MI 49503

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 Ellen Mbungu's NPI number?

The NPI number for Ellen Mbungu is 1265076798. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Ellen Mbungu located?

Ellen Mbungu practices at 550 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 235-7272.

What is Ellen Mbungu's specialty?

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

Is Ellen Mbungu enrolled in Medicare?

Yes. Ellen Mbungu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Mbungu accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Ellen Mbungu 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 Ellen Mbungu was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.