ADVANCE HEALING AND INTEGRATIVE SERVICES LLC
NPI 1619635570
Nurse Practitioner - Psychiatric/Mental Health in Oak Park, MI
About Advance Healing And Integrative Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCE HEALING AND INTEGRATIVE SERVICES LLC (NPI 1619635570) is a healthcare organization registered as a psychiatric/mental health in Oak Park, Michigan and active in the NPI registry since December 2021. The organization lists Chenaull Jordan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advance Healing And Integrative Services 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 Advance Healing And Integrative Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Advance Healing And Integrative Services LLC's NPI number?
The NPI number for Advance Healing And Integrative Services LLC is 1619635570. It was assigned to this organization in the NPPES registry on December 7, 2021.
Where is Advance Healing And Integrative Services LLC located?
Advance Healing And Integrative Services LLC is located at 12900 W 9 Mile Rd, Oak Park, MI 48237. The listed phone number is (480) 444-8184.
What is Advance Healing And Integrative Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Advance Healing And Integrative Services LLC enrolled in Medicare?
Yes. Advance Healing And Integrative Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advance Healing And Integrative Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advance Healing And Integrative Services 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.
What insurance does Advance Healing And Integrative Services LLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Advance Healing And Integrative Services 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 Advance Healing And Integrative Services LLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Advance Healing And Integrative Services Llc · NPI 1619635570
Psychiatric/Mental Health organization in Oak Park, Michigan. Organization record, active in the CMS NPPES registry since December 7, 2021.
## Identity
- **NPI:** 1619635570 (Entity type: Organization)
- **Enumerated:** December 7, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Chenaull Jordan, OWNER
## Practice location
- **Address:** 12900 W 9 MILE RD, Oak Park, MI 48237-2990
- **Phone:** (480) 444-8184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619635570) · Data from the CMS NPPES public registry.