BIRCH GROVE MENTAL HEALTH & WELLNESS, LLC
NPI 1619729415
Nurse Practitioner - Psychiatric/Mental Health in Houlton, ME
About Birch Grove Mental Health & Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIRCH GROVE MENTAL HEALTH & WELLNESS, LLC (NPI 1619729415) is a healthcare organization registered as a psychiatric/mental health in Houlton, Maine and active in the NPI registry since April 2024. The organization lists Shelly Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Birch Grove Mental Health & Wellness, 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 Birch Grove Mental Health & Wellness, 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 Birch Grove Mental Health & Wellness, LLC's NPI number?
The NPI number for Birch Grove Mental Health & Wellness, LLC is 1619729415. It was assigned to this organization in the NPPES registry on April 4, 2024.
Where is Birch Grove Mental Health & Wellness, LLC located?
Birch Grove Mental Health & Wellness, LLC is located at 23 Court St Ste 2, Houlton, ME 04730. The listed phone number is (207) 835-3214.
What is Birch Grove Mental Health & Wellness, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Birch Grove Mental Health & Wellness, LLC enrolled in Medicare?
Yes. Birch Grove Mental Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Birch Grove Mental Health & Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Birch Grove Mental Health & Wellness, 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 Birch Grove Mental Health & Wellness, LLC was last updated on May 16, 2024. 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.
# Birch Grove Mental Health & Wellness, Llc · NPI 1619729415
Psychiatric/Mental Health organization in Houlton, Maine. Organization record, active in the CMS NPPES registry since April 4, 2024.
## Identity
- **NPI:** 1619729415 (Entity type: Organization)
- **Enumerated:** April 4, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Shelly Miller, OWNER
## Practice location
- **Address:** 23 COURT ST STE 2, Houlton, ME 04730-1746
- **Phone:** (207) 835-3214
## 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:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619729415) · Data from the CMS NPPES public registry.