NPI: 1104423508 · WYOMING, MI 49548 · Medical Specialty Clinic/Center · NPI assigned 10/08/2020
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES INC |
| NPI Enumeration Date | 10/08/2020 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 268 | $14K |
| 2022 | 873 | $38K |
| 2023 | 765 | $36K |
| 2024 | 554 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 1,565 | 721 | $113K |
| 90834 | Psychotherapy, 45 minutes with patient | 380 | 246 | $2K |
| 90832 | Psychotherapy, 30 minutes with patient | 496 | 335 | $2K |
| 90837 | Psychotherapy, 53 minutes with patient | 19 | 14 | $90.98 |