Mindful Living PLLC
NPI 1013145879ActiveOrganization· Psychologist· Brighton, MI
Psychologist in Brighton, Michigan, registered in NPPES in June 2009. The authorized official on file is Debbie Koeltzow, ED.D., LP, Clinic Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013145879 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2009 |
| Last updated in NPPES | Jun 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301011430 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Psychologist providers in Brighton
- 1225165715
- 1538201397
- 1538009998
- 1043352701
- 1639037047
- 1538670807
- 1588208045
- 1063860955
- 1356202832
- 1548419617
- 1841216264
- 1427472075