Collective Impact Services LLC
NPI 1083317010ActiveOrganization· Counselor, Professional· Petoskey, MI
Counselor, Professional in Petoskey, Michigan, registered in NPPES in March 2023. The authorized official on file is Julie Clark, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083317010 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2023 |
| Last updated in NPPES | Apr 17, 2023 |
| Certified by provider | Mar 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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