PATH TO MENTAL HEALTH WELLNESS LLC
NPI 1811881345
Nurse Practitioner - Psychiatric/Mental Health in Washington, MI

Active since June 09, 2025
12116 ROMEO LN, WASHINGTON, MI 48094(616) 617-3905 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Path To Mental Health Wellness Llc NPPES

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

PATH TO MENTAL HEALTH WELLNESS LLC (NPI 1811881345) is a healthcare organization registered as a psychiatric/mental health in Washington, Michigan and active in the NPI registry since June 2025. The organization lists Souad Alfaraj, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1811881345
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePATH TO MENTAL HEALTH WELLNESS LLC
Location Address12116 ROMEO LNWashington, MI 48094-3195
Mailing Address12116 Romeo LnWashington, MI 48094-3195
Organization SubpartNo
Authorized OfficialSouad AlfarajPmhnp · (616) 617-3905
Enumeration DateJune 9, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1811881345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
12116 ROMEO LN, Washington, MI 48094

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Path To Mental Health Wellness 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 Path To Mental Health Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1932908761
3901 CHRYSLER DR STE 3B
Detroit, MI 48201
(313) 577-1396
✔ PECOS27 mi

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 Path To Mental Health Wellness LLC's NPI number?

The NPI number for Path To Mental Health Wellness LLC is 1811881345. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Path To Mental Health Wellness LLC located?

Path To Mental Health Wellness LLC is located at 12116 Romeo Ln, Washington, MI 48094. The listed phone number is (616) 617-3905.

What is Path To Mental Health Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Path To Mental Health Wellness LLC enrolled in Medicare?

Yes. Path To Mental Health Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Path To Mental Health Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Path To Mental Health Wellness 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 Path To Mental Health Wellness LLC accept?

Health plans from Blue Care Network of Michigan list Path To Mental Health Wellness 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 Path To Mental Health Wellness LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.