Your Path Therapy Group, PLLC
NPI 1215795224ActiveOrganization· Social Worker, Clinical· Clinton Township, MI
Social Worker, Clinical in Clinton Township, Michigan, registered in NPPES in March 2024. The authorized official on file is Gage L. Peavler, LMSW, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215795224 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2024 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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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