MR. RICARDO DAVID TILLERY MBA, LMSW, ICAADC
NPI 1528380623
Social Worker - Clinical in Lansing, MI
About Mr. Ricardo David Tillery Mba, Lmsw, Icaadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RICARDO DAVID TILLERY MBA, LMSW, ICAADC (NPI 1528380623) is an individual clinical provider in Lansing, Michigan, licensed in Michigan (6801094835) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ricardo David Tillery Mba, Lmsw, Icaadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ricardo Tillery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48917
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Lansing, MI 48917
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANSING, MI 48917
LANSING, MI 48917
LANSING, MI 48917
LANSING, MI 48917
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 Ricardo Tillery's NPI number?
The NPI number for Ricardo Tillery is 1528380623. It was assigned to this individual provider in the NPPES registry on February 17, 2010.
Where is Ricardo Tillery located?
Ricardo Tillery practices at 3721 W Michigan Ave Ste 200, Lansing, MI 48917. The listed phone number is (517) 515-6176.
What is Ricardo Tillery's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ricardo Tillery enrolled in Medicare?
Yes. Ricardo Tillery is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ricardo Tillery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Tillery reassigns Medicare benefits to 2 organizations: Innovative Behavioral Health (Lansing, MI) and Innovative Behavioral Solutions (Lansing, MI). Each 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 Ricardo Tillery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ricardo Tillery accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Ricardo Tillery 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 Ricardo Tillery was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Ricardo David Tillery, MBA, LMSW, ICAADC · NPI 1528380623
Clinical provider in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since February 17, 2010.
## Identity
- **NPI:** 1528380623 (Entity type: Individual)
- **Enumerated:** February 17, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801094835 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3721 W MICHIGAN AVE STE 200, Lansing, MI 48917-3600
- **Phone:** (517) 515-6176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Innovative Behavioral Health (NPI 1164035051, Lansing, MI); Innovative Behavioral Solutions (NPI 1396128088, Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2020
- **Other identifiers:** Medicaid 1396128088 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1528380623) · Data from the CMS NPPES public registry.