Stillwater Teletherapy PLLC
NPI 1023979358ActiveOrganization· Counselor, Mental Health· Traverse City, MI
Counselor, Mental Health in Traverse City, Michigan, registered in NPPES in November 2025. The authorized official on file is Mary Mummaw, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023979358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2025 |
| Last updated in NPPES | Nov 18, 2025 |
| Certified by provider | Nov 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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