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MARY A MUMMAW LPC
NPI 1730313552
Counselor - Mental Health in Traverse City, MI

Active since May 07, 2009PECOS Enrolled
10139 E GRANDVIEW RD, TRAVERSE CITY, MI 49684(989) 293-4927 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1730313552
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY A MUMMAWCredential: LPC
Location Address10139 E GRANDVIEW RDTraverse City, MI 49684-5429
Mailing Address10139 E Grandview RdTraverse City, MI 49684-5429 · (989) 293-4927
Phone(989) 293-4927
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 7, 2009
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1730313552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401010130
10139 E GRANDVIEW RD, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Location 1

Location 1605 Beckon RdPellston, MI 49769-9315 · Phone (989) 293-4927

Other Identifiers 1

Medicaid1477745370MT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary A Mummaw Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476049800
PECOS Enrollment IDI20260106000783
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.

Other Providers at the Same Location NPPES

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

STILLWATER TELETHERAPY PLLC
Counselor (Mental Health)
10139 E GRANDVIEW RD
TRAVERSE CITY, MI 49684
Grand Traverse County (989) 293-4927

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.

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 10 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.