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THERESE KAUFMAN LMSW
NPI 1285919530
Social Worker - Clinical in Suttons Bay, MI

Active since October 19, 2011PECOS EnrolledAccepts Medicare Assignment
421 N SAINT JOSEPH ST # 202, SUTTONS BAY, MI 49682(231) 242-3254(231) 421-7535 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Therese Kaufman Lmsw NPPES

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

THERESE KAUFMAN LMSW (NPI 1285919530) is an individual clinical provider in Suttons Bay, Michigan, licensed in Michigan (6801093640) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285919530
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESE KAUFMANCredential: LMSW
Location Address421 N SAINT JOSEPH ST # 202Suttons Bay, MI 49682-5111
Mailing Address5275 Lake Leelanau DrTraverse City, MI 49684-9544 · (231) 242-3254 · Fax (231) 421-7535
Phone(231) 242-3254
Fax(231) 421-7535
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 19, 2011
Last NPPES UpdateJanuary 13, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1285919530 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 · 6801093640
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 6801093640 (MI)
421 N SAINT JOSEPH ST # 202, Suttons Bay, MI 49682
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Therese Kaufman Lmsw 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 ID143450874
PECOS Enrollment IDI20140225002114
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 Reassignments

2

Medicare enrollment records show Therese Kaufman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baybrooke Counseling
Same address
General Practice
421 ST. JOSEPHS AVE
Suttons Bay, MI 49682
  • Reassigned Medicare billing, Michigan enrollment
NPI 1558913251 (231) 242-3254
Kalkaska Memorial Health Center
29 mi
Family Medicine
419 S CORAL ST
Kalkaska, MI 49646
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
NPI 1013183060 (231) 258-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49682 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.

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 Therese Kaufman's NPI number?

The NPI number for Therese Kaufman is 1285919530. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Therese Kaufman located?

Therese Kaufman practices at 421 N Saint Joseph St # 202, Suttons Bay, MI 49682. The listed phone number is (231) 242-3254.

What is Therese Kaufman's specialty?

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

Is Therese Kaufman enrolled in Medicare?

Yes. Therese Kaufman 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.

Which organizations bill Medicare for Therese Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Therese Kaufman reassigns Medicare benefits to 2 organizations: Baybrooke Counseling (Suttons Bay, MI) and Kalkaska Memorial Health Center (Kalkaska, MI). Each 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 Therese Kaufman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Therese Kaufman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Therese Kaufman 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 Therese Kaufman was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.