MARY A MUMMAW LPC
NPI 1730313552
Counselor - Mental Health in Traverse City, MI
About Mary A Mummaw Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY A MUMMAW LPC (NPI 1730313552) is an individual mental health provider in Traverse City, Michigan, licensed in Michigan (6401010130) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pellston, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary A Mummaw Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Mummaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Mummaw's NPI number?
The NPI number for Mary Mummaw is 1730313552. It was assigned to this individual provider in the NPPES registry on May 7, 2009.
Where is Mary Mummaw located?
Mary Mummaw practices at 10139 E Grandview Rd, Traverse City, MI 49684. The listed phone number is (989) 293-4927.
What is Mary Mummaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Mummaw enrolled in Medicare?
Yes. Mary Mummaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Mummaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mummaw reassigns Medicare benefits to Stillwater Teletherapy PLLC (Traverse City, MI). 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 Mary Mummaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Mummaw accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Mary Mummaw 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 Mary Mummaw was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mary A Mummaw, LPC · NPI 1730313552
Mental Health provider in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1730313552 (Entity type: Individual)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401010130 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10139 E GRANDVIEW RD, Traverse City, MI 49684-5429
- **Phone:** (989) 293-4927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Stillwater Teletherapy PLLC (NPI 1023979358, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 2, 2025
- **Other identifiers:** Medicaid 1477745370 (MT)
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Source: [NPI Profile](https://npiprofile.com/npi/1730313552) · Data from the CMS NPPES public registry.