Evolving Perspective
NPI 1861171175ActiveOrganization· Clinic/Center· Plymouth, MI
Clinic/Center in Plymouth, Michigan, registered in NPPES in July 2023. The authorized official on file is Nicole Marie Wassel, LMSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861171175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2023 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
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) |
|---|
Other Clinic/Center providers in Plymouth
- 1558873844
- 1679530612
- 1447363270
- 1316469174