Mia Online Therapy Services, LLC
NPI 1679246714ActiveOrganization· Social Worker, Clinical· Adrian, MI
Social Worker, Clinical in Adrian, Michigan, registered in NPPES in July 2021. The authorized official on file is Mirjana Jovicic, Social Worker- Clinical/ Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679246714 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2021 |
| Last updated in NPPES | Nov 3, 2024 |
| Certified by provider | Nov 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 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 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) |
|---|
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