AWAKEN MIND & BODY
NPI 1861110207
Counselor - Mental Health in Grand Haven, MI
About Awaken Mind & Body NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AWAKEN MIND & BODY (NPI 1861110207) is a healthcare organization registered as a mental health in Grand Haven, Michigan and active in the NPI registry since August 2022. The organization lists Kristen Kennedy, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Awaken Mind & Body 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 Awaken Mind & Body, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Awaken Mind & Body's NPI number?
The NPI number for Awaken Mind & Body is 1861110207. It was assigned to this organization in the NPPES registry on August 22, 2022.
Where is Awaken Mind & Body located?
Awaken Mind & Body is located at 612 Miller Dr, Grand Haven, MI 49417. The listed phone number is (616) 287-2833.
What is Awaken Mind & Body's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Awaken Mind & Body enrolled in Medicare?
Yes. Awaken Mind & Body is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Awaken Mind & Body?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Awaken Mind & Body. 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 Awaken Mind & Body accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Awaken Mind & Body 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 Awaken Mind & Body was last updated on February 28, 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.
# Awaken Mind & Body · NPI 1861110207
Mental Health organization in Grand Haven, Michigan. Organization record, active in the CMS NPPES registry since August 22, 2022.
## Identity
- **NPI:** 1861110207 (Entity type: Organization)
- **Enumerated:** August 22, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kristen Kennedy, CO-OWNER
## Practice location
- **Address:** 612 MILLER DR, Grand Haven, MI 49417
- **Phone:** (616) 287-2833
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1861110207) · Data from the CMS NPPES public registry.