INNER CITY FAMILY SERVICES DETROIT LLC
NPI 1558107276
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grosse Pointe, MI

Active since July 02, 2024
17894 MACK AVE, GROSSE POINTE, MI 48230(917) 916-6801 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2024, Sep 12, 2024, Jul 2, 2024 (3 updates tracked since 2024).

About Inner City Family Services Detroit Llc NPPES

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

INNER CITY FAMILY SERVICES DETROIT LLC (NPI 1558107276) is a healthcare organization registered as a mental health (including community mental health center) in Grosse Pointe, Michigan and active in the NPI registry since July 2024. The organization lists Raul Wikkeling, Director, as its authorized official.

NPPES Registry Identity

NPI1558107276
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINNER CITY FAMILY SERVICES DETROIT LLC
Location Address17894 MACK AVEGrosse Pointe, MI 48230-6250
Mailing Address17894 Mack AveGrosse Pointe, MI 48230-6250
Organization SubpartNo
Authorized OfficialRaul WikkelingDirector · (917) 916-6801
Enumeration DateJuly 2, 2024
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1558107276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
17894 MACK AVE, Grosse Pointe, MI 48230

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner City Family Services Detroit 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 Inner City Family Services Detroit LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1972032167
2041 MARTIN LUTHER KING JR AVE SE
Washington, DC 20020
(202) 547-8450
✔ PECOS396 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 Inner City Family Services Detroit LLC's NPI number?

The NPI number for Inner City Family Services Detroit LLC is 1558107276. It was assigned to this organization in the NPPES registry on July 2, 2024.

Where is Inner City Family Services Detroit LLC located?

Inner City Family Services Detroit LLC is located at 17894 Mack Ave, Grosse Pointe, MI 48230. The listed phone number is (917) 916-6801.

What is Inner City Family Services Detroit LLC'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 Inner City Family Services Detroit LLC enrolled in Medicare?

Yes. Inner City Family Services Detroit LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner City Family Services Detroit LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Inner City Family Services Detroit 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.

When was this NPI record last updated?

The NPPES record for Inner City Family Services Detroit LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.