PETOSKEY PSYCHOLOGICAL HEALTH AND WELLNESS, PLLC
NPI 1831666288
Clinic/Center - Adult Mental Health in Petoskey, MI
About Petoskey Psychological Health And Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETOSKEY PSYCHOLOGICAL HEALTH AND WELLNESS, PLLC (NPI 1831666288) is a healthcare organization registered as an adult mental health in Petoskey, Michigan and active in the NPI registry since October 2018. The organization lists Rebecca Roth, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Petoskey Psychological Health And Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Petoskey Psychological Health And Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Petoskey Psychological Health And Wellness, PLLC's NPI number?
The NPI number for Petoskey Psychological Health And Wellness, PLLC is 1831666288. It was assigned to this organization in the NPPES registry on October 24, 2018.
Where is Petoskey Psychological Health And Wellness, PLLC located?
Petoskey Psychological Health And Wellness, PLLC is located at 2810 Charlevoix Rd Ste 102, Petoskey, MI 49770. The listed phone number is (231) 340-9113.
What is Petoskey Psychological Health And Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Petoskey Psychological Health And Wellness, PLLC enrolled in Medicare?
Yes. Petoskey Psychological Health And Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Petoskey Psychological Health And Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Petoskey Psychological Health And Wellness, PLLC. 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. The largest specialties are Clinical Social Worker (3) and Clinical Psychologist (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Petoskey Psychological Health And Wellness, PLLC accept?
Health plans from Blue Care Network of Michigan list Petoskey Psychological Health And Wellness, PLLC 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 Petoskey Psychological Health And Wellness, PLLC was last updated on April 22, 2024. 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.
# Petoskey Psychological Health And Wellness, Pllc · NPI 1831666288
Adult Mental Health organization in Petoskey, Michigan. Organization record, active in the CMS NPPES registry since October 24, 2018.
## Identity
- **NPI:** 1831666288 (Entity type: Organization)
- **Enumerated:** October 24, 2018
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Rebecca Roth, OWNER
## Practice location
- **Address:** 2810 CHARLEVOIX RD STE 102, Petoskey, MI 49770-8421
- **Phone:** (231) 340-9113 · **Fax:** (231) 642-9116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Clinical Psychologist (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831666288) · Data from the CMS NPPES public registry.