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ADEENA STAHLBUCK-WHITTAKER
NPI 1508632761
Counselor - Professional in Petoskey, MI

Active since November 29, 2023PECOS Enrolled
1420 PLAZA DR, PETOSKEY, MI 49770(231) 348-3096 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adeena Stahlbuck-whittaker NPPES

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

ADEENA STAHLBUCK-WHITTAKER (NPI 1508632761) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401009576) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508632761
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameADEENA STAHLBUCK-WHITTAKER
Location Address1420 PLAZA DRPetoskey, MI 49770-9420
Mailing Address1420 Plaza DrPetoskey, MI 49770-9420 · (231) 348-3096
Phone(231) 348-3096
Sole ProprietorYes
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1508632761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401009576
1420 PLAZA DR, Petoskey, MI 49770
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adeena Stahlbuck-whittaker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Adeena Stahlbuck-whittaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Country Community Mental Health
Same address
Community/Behavioral Health
1420 PLAZA DR
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1053474015 (231) 439-1233

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA J KENYON RN
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 348-3096
AMY JACKSON
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-7890
NORTH COUNTRY COMMUNITY MENTAL HEALTH
Community/Behavioral Health
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 439-1233
BRYNN WARNER
Social Worker
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (877) 470-7130
ERICA CHRISTINE PENNELL LLMSW
Social Worker
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-7890
MARK BRAENDLE
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 348-3096
BREEANA WALKER
Social Worker
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (877) 470-7130
SHANE PHILLIPS MS, BCBA, LBA
Behavior Analyst
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-6701

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 Adeena Stahlbuck-whittaker's NPI number?

The NPI number for Adeena Stahlbuck-whittaker is 1508632761. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Adeena Stahlbuck-whittaker located?

Adeena Stahlbuck-whittaker practices at 1420 Plaza Dr, Petoskey, MI 49770. The listed phone number is (231) 348-3096.

What is Adeena Stahlbuck-whittaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Adeena Stahlbuck-whittaker enrolled in Medicare?

Yes. Adeena Stahlbuck-whittaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adeena Stahlbuck-whittaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeena Stahlbuck-whittaker reassigns Medicare benefits to North Country Community Mental Health (Petoskey, MI). The 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 Adeena Stahlbuck-whittaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adeena Stahlbuck-whittaker was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.