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STARLIGHT PSYCHOTHERAPY LLC
NPI 1699580928
Social Worker - Clinical in Ann Arbor, MI

Active since February 12, 2025
2311 E STADIUM BLVD STE 105N, ANN ARBOR, MI 48104(734) 602-4635 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Sep 9, 2025, Feb 12, 2025 (3 updates tracked since 2025).

About Starlight Psychotherapy Llc NPPES

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

STARLIGHT PSYCHOTHERAPY LLC (NPI 1699580928) is a healthcare organization registered as a clinical in Ann Arbor, Michigan and active in the NPI registry since February 2025. The organization lists Brooke Gabriel, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1699580928
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSTARLIGHT PSYCHOTHERAPY LLC
Location Address2311 E STADIUM BLVD STE 105NAnn Arbor, MI 48104-4821
Mailing Address2311 E Stadium Blvd Ste 105nAnn Arbor, MI 48104-4821 · (734) 602-4635
Phone(734) 602-4635
Organization SubpartNo
Authorized OfficialBrooke GabrielPsychotherapist · (734) 474-0555
Enumeration DateFebruary 12, 2025
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1699580928 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.
2311 E STADIUM BLVD STE 105N, Ann Arbor, MI 48104
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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)

Starlight Psychotherapy 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 Starlight Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brooke Gabriel, LMSW
Clinical Social Worker
NPI 1497596233
2311 E STADIUM BLVD STE 105N
Ann Arbor, MI 48104
(734) 602-4635
✔ 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 Starlight Psychotherapy LLC's NPI number?

The NPI number for Starlight Psychotherapy LLC is 1699580928. It was assigned to this organization in the NPPES registry on February 12, 2025.

Where is Starlight Psychotherapy LLC located?

Starlight Psychotherapy LLC is located at 2311 E Stadium Blvd Ste 105N, Ann Arbor, MI 48104. The listed phone number is (734) 602-4635.

What is Starlight Psychotherapy LLC's specialty?

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

Is Starlight Psychotherapy LLC enrolled in Medicare?

Yes. Starlight Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Starlight Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Starlight Psychotherapy 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 Starlight Psychotherapy LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Starlight Psychotherapy 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 Starlight Psychotherapy LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.