BE WELL COLLABORATIVE PLLC
NPI 1306780440
Clinic/Center - Adult Mental Health in Mulkeytown, IL
About Be Well Collaborative Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BE WELL COLLABORATIVE PLLC (NPI 1306780440) is a healthcare organization registered as an adult mental health in Mulkeytown, Illinois and active in the NPI registry since April 2026. The organization lists Elizabeth L Harbison, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Be Well Collaborative Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Be Well Collaborative PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Be Well Collaborative PLLC's NPI number?
The NPI number for Be Well Collaborative PLLC is 1306780440. It was assigned to this organization in the NPPES registry on April 17, 2026.
Where is Be Well Collaborative PLLC located?
Be Well Collaborative PLLC is located at 1163 Park Street Rd, Mulkeytown, IL 62865. The listed phone number is (618) 816-5032.
What is Be Well Collaborative PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Be Well Collaborative PLLC enrolled in Medicare?
Yes. Be Well Collaborative PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Be Well Collaborative PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Be Well Collaborative PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Be Well Collaborative PLLC was last updated on July 28, 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.
# Be Well Collaborative Pllc · NPI 1306780440
Adult Mental Health organization in Mulkeytown, Illinois. Organization record, active in the CMS NPPES registry since April 17, 2026.
## Identity
- **NPI:** 1306780440 (Entity type: Organization)
- **Enumerated:** April 17, 2026
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Harbison, MANAGING MEMBER
## Practice location
- **Address:** 1163 PARK STREET RD, Mulkeytown, IL 62865
- **Phone:** (618) 816-5032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306780440) · Data from the CMS NPPES public registry.