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T3-TRAUMA TO TRIUMPH LLC
NPI 1659267326
Social Worker - Clinical in Holt, MI

Active since June 17, 2025
5555 POCASSETT WAY, HOLT, MI 48842(517) 643-0663 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Jun 17, 2025 (2 updates tracked since 2025).

About T3-trauma To Triumph Llc NPPES

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

T3-TRAUMA TO TRIUMPH LLC (NPI 1659267326) is a healthcare organization registered as a clinical in Holt, Michigan and active in the NPI registry since June 2025. The organization lists Diontwanette Mack-parker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659267326
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameT3-TRAUMA TO TRIUMPH LLC
Location Address5555 POCASSETT WAYHolt, MI 48842-8723
Mailing Address5555 Pocassett WayHolt, MI 48842-8723 · (517) 643-0663
Phone(517) 643-0663
Organization SubpartNo
Authorized OfficialDiontwanette Mack-parkerCeo · (517) 643-0663
Enumeration DateJune 17, 2025
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1659267326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5555 POCASSETT WAY, Holt, MI 48842
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

T3-trauma To Triumph 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 T3-Trauma To Triumph LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diontwanette Mack-Parker, LMSW
Clinical Social Worker
NPI 1477149524
5555 POCASSETT WAY
Holt, MI 48842
(517) 712-0122
✔ PECOSSame address

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 T3-Trauma To Triumph LLC's NPI number?

The NPI number for T3-Trauma To Triumph LLC is 1659267326. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is T3-Trauma To Triumph LLC located?

T3-Trauma To Triumph LLC is located at 5555 Pocassett Way, Holt, MI 48842. The listed phone number is (517) 643-0663.

What is T3-Trauma To Triumph LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is T3-Trauma To Triumph LLC enrolled in Medicare?

Yes. T3-Trauma To Triumph LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through T3-Trauma To Triumph LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to T3-Trauma To Triumph 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 T3-Trauma To Triumph LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list T3-Trauma To Triumph 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 T3-Trauma To Triumph LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.