THE MINDFUL SELF, LLC
NPI 1477805463
Counselor - Professional in Warren, MI
About The Mindful Self, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MINDFUL SELF, LLC (NPI 1477805463) is a healthcare organization registered as a professional in Warren, Michigan and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Washington Twp and lists Alisa M Hilewsky, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Mindful Self, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to The Mindful Self, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Warren, MI 48093
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 The Mindful Self, LLC's NPI number?
The NPI number for The Mindful Self, LLC is 1477805463. It was assigned to this organization in the NPPES registry on October 15, 2012.
Where is The Mindful Self, LLC located?
The Mindful Self, LLC is located at 31201 Chicago Rd S Ste A201, Warren, MI 48093. The listed phone number is (248) 543-0033.
What is The Mindful Self, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is The Mindful Self, LLC enrolled in Medicare?
Yes. The Mindful Self, LLC is registered in the Medicare PECOS enrollment system.
When is The Mindful Self, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through The Mindful Self, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to The Mindful Self, 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. The largest specialties are Mental Health Counselor (5), Clinical Social Worker (3) and Clinical Psychologist (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Mindful Self, LLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list The Mindful Self, 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 The Mindful Self, LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# The Mindful Self, Llc · NPI 1477805463
Professional organization in Warren, Michigan. Organization record, active in the CMS NPPES registry since October 15, 2012.
## Identity
- **NPI:** 1477805463 (Entity type: Organization)
- **Enumerated:** October 15, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Alisa Hilewsky, CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 31201 CHICAGO RD S STE A201, Warren, MI 48093-5552
- **Phone:** (248) 543-0033 · **Fax:** (248) 548-5309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Clinical Social Worker (3), Clinical Psychologist (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477805463) · Data from the CMS NPPES public registry.