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SHIAWASSEE HEALTH & WELLNESS
NPI 1497749279
Clinic/Center - Mental Health (Including Community Mental Health Center) in Owosso, MI

Active since September 07, 2005
1555 INDUSTRIAL DR, OWOSSO, MI 48867(989) 723-6791(989) 725-5061 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shiawassee Health & Wellness NPPES

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

SHIAWASSEE HEALTH & WELLNESS (NPI 1497749279) is a healthcare organization registered as a mental health (including community mental health center) in Owosso, Michigan and active in the NPI registry since September 2005. The organization lists Laura Stephen, Financial Services Supervisor, as its authorized official.

NPPES Registry Identity

NPI1497749279
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address1555 INDUSTRIAL DROwosso, MI 48867-9775
Mailing Address1555 Industrial DrOwosso, MI 48867-9775 · (989) 723-6791 · Fax (989) 725-5061
Phone(989) 723-6791
Fax(989) 725-5061
Organization SubpartNo
Authorized OfficialLaura StephenFinancial Services Supervisor · (989) 723-0732
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJanuary 18, 2018
✔ NPI 1497749279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1555 INDUSTRIAL DR, Owosso, MI 48867
Open in Google Maps ↗

Other Names 1

Doing Business AsShiawassee Health & Wellness

Other Identifiers 5

Other0G86005MI · Bcbs
Medicaid774351238MI
OtherP10G81020MI · Bcbs
Other105813Value Options
Other0G86087MI · Bcbs

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)

Shiawassee Health & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040227000575Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Shiawassee Health & Wellness, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker6
Psychiatry3
Mental Health Counselor2
Occupational Therapist in Private Practice1

Clinicians, nearest first (12)

Lorissa Butko, OTRL
Occupational Therapist in Private Practice
NPI 1134938590
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ Accepts MedicareSame address
Tamara Carter, LPC
Mental Health Counselor
NPI 1225311137
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOSSame address
Dena Johnson, LPC
Mental Health Counselor
NPI 1710664214
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOS✔ Accepts MedicareSame address
Karen Kilpatrick, LMSW
Clinical Social Worker
NPI 1841611985
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOS✔ Accepts MedicareSame address
Amanda Kviz, LMSW
Clinical Social Worker
NPI 1396136966
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOS✔ Accepts MedicareSame address
Caryn Melotti, LMSW
Clinical Social Worker
NPI 1023184405
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOS✔ Accepts MedicareSame address
Peter Vantil, LMSW
Clinical Social Worker
NPI 1376997593
1555 INDUSTRIAL DR
Owosso, MI 48867
(989) 723-6791
✔ PECOS✔ Accepts MedicareSame address
Rachelle Bennett, LMSW, CAADC
Clinical Social Worker
NPI 1255847471
420 W 5TH AVE
Flint, MI 48503
(810) 257-3705
✔ PECOS23 mi
Martha Hashimoto, M.D.
Psychiatry
NPI 1699828293
2140 E ELLSWORTH RD
Ann Arbor, MI 48108
(734) 544-3050
✔ PECOS✔ Accepts Medicare57 mi
Chia Morgan, LMSW
Clinical Social Worker
NPI 1568911048
14029 W MCNICHOLS RD
Detroit, MI 48235
(810) 545-7169
✔ PECOS✔ Accepts Medicare63 mi
Jaskirit Gill
Psychiatry
NPI 1962846147
9901 MEDICAL CENTER DR
Rockville, MD 20850
(301) 251-4500
✔ PECOS✔ Accepts Medicare451 mi
Ralph Saintfort, MD
Psychiatry
NPI 1184617995
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare1,922 mi

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 Shiawassee County Community Mental Health Authority's NPI number?

The NPI number for Shiawassee County Community Mental Health Authority is 1497749279. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider is doing business as Shiawassee Health & Wellness.

Where is Shiawassee County Community Mental Health Authority located?

Shiawassee County Community Mental Health Authority is located at 1555 Industrial Dr, Owosso, MI 48867. The listed phone number is (989) 723-6791.

What is Shiawassee County Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Shiawassee County Community Mental Health Authority enrolled in Medicare?

Yes. Shiawassee County Community Mental Health Authority is registered in the Medicare PECOS enrollment system.

When is Shiawassee County Community Mental Health Authority'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 November 30, 2026. 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 Shiawassee County Community Mental Health Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Shiawassee County Community Mental Health Authority. 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 Clinical Social Worker (6), Psychiatry (3) and Mental Health Counselor (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shiawassee County Community Mental Health Authority was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.