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INTENTIONAL WELLBEING LLC
NPI 1366994410
Psychologist - Clinical in Fenton, MI

Active since October 25, 2016
1122 N. LEROY RD, SUITE A, FENTON, MI 48430(810) 373-5591 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Sep 25, 2020, Sep 15, 2017 and 1 more (4 updates tracked since 2016).

About Intentional Wellbeing Llc NPPES

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

INTENTIONAL WELLBEING LLC (NPI 1366994410) is a healthcare organization registered as a clinical in Fenton, Michigan and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Ann Arbor and lists Cristina Leclair, Owner, as its authorized official.

NPPES Registry Identity

NPI1366994410
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINTENTIONAL WELLBEING LLC
Location Address1122 N. LEROY RD, SUITE AFenton, MI 48430
Mailing Address1122 N Leroy St Ste AFenton, MI 48430-2789 · (810) 373-5591
Phone(810) 373-5591
Organization SubpartNo
Authorized OfficialCristina LeclairOwner · (810) 373-5591
Enumeration DateOctober 25, 2016
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1366994410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301015165
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1122 N. LEROY RD, Fenton, MI 48430
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Secondary Practice Location 1

Location 12350 Washtenaw Ave Ste 2Ann Arbor, MI 48104-4525 · Phone (810) 373-5591

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intentional Wellbeing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Intentional Wellbeing LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cristina Leclair, PSY D LP
Clinical Psychologist
NPI 1679766240
1122 N LEROY ST STE A
Fenton, MI 48430
(810) 373-5591
✔ PECOS✔ Accepts MedicareSame address

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 Intentional Wellbeing LLC's NPI number?

The NPI number for Intentional Wellbeing LLC is 1366994410. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Intentional Wellbeing LLC located?

Intentional Wellbeing LLC is located at 1122 N. Leroy Rd Suite A, Fenton, MI 48430. The listed phone number is (810) 373-5591.

What is Intentional Wellbeing LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Intentional Wellbeing LLC enrolled in Medicare?

Yes. Intentional Wellbeing LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intentional Wellbeing LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Intentional Wellbeing LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Intentional Wellbeing LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Intentional Wellbeing LLC 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 Intentional Wellbeing LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.