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MICHAEL CLEVELAND
NPI 1679921803
Counselor - Mental Health in Walla Walla, WA

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
1520 KELLY PL, SUITE 234, WALLA WALLA, WA 99362(509) 575-4084 Get Directions Write a Review

NPPES record last updated: November 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Cleveland NPPES

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

MICHAEL CLEVELAND (NPI 1679921803) is an individual mental health provider in Walla Walla, Washington and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679921803
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL CLEVELAND
Location Address1520 KELLY PL, SUITE 234Walla Walla, WA 99362-8607
Mailing AddressPo Box 959Yakima, WA 98907-0959
Phone(509) 575-4084
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2016
Last NPPES UpdateNovember 26, 2023
NPPES CertifiedNovember 26, 2023
✔ NPI 1679921803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1520 KELLY PL, Walla Walla, WA 99362
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Cleveland is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678925229
PECOS Enrollment IDI20240118003500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Cleveland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Healthcare
110 mi
Community/Behavioral Health
402 S 4TH AVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 82 clinicians in this Medicare group
NPI 1073527453 (509) 575-4084

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYNIS GARCIA PURECO
Registered Nurse
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 524-2957
KRISTINA RENEE BLAKE
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 838-4651
MARIKKA MALM
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 575-4084
ROSA E TOVAR
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 575-4084
THOMAS E BLACKMAN RN
Registered Nurse
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 575-4084
MS. JESSICA KAGELE
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 524-2920
CLARA PENINGER
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 575-4084
AMANDA EVE PARRY SUDPT
Counselor (Addiction (Substance Use Disorder))
1520 KELLY PL
WALLA WALLA, WA 99362
Walla Walla County (509) 524-2920

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 Michael Cleveland's NPI number?

The NPI number for Michael Cleveland is 1679921803. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Michael Cleveland located?

Michael Cleveland practices at 1520 Kelly Pl Suite 234, Walla Walla, WA 99362. The listed phone number is (509) 575-4084.

What is Michael Cleveland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Cleveland enrolled in Medicare?

Yes. Michael Cleveland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Cleveland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cleveland reassigns Medicare benefits to Comprehensive Healthcare (Yakima, WA). The 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 Michael Cleveland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Cleveland was last updated on November 26, 2023. 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.