Innovative Behavioral Health
NPI 1164035051 · Clinic/Center · Lansing, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Behavioral Health is a Clinic/Center organization in Lansing, MI (NPI 1164035051).
Provider details
- NPI number
- 1164035051
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Innovative Health Systems
- Organization subpart
- Yes
- Authorized official
- Ricardo Tillery, Ceo(517) 703-3387
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Frequently asked questions
- What is Innovative Behavioral Health's NPI number?
- Innovative Behavioral Health's National Provider Identifier (NPI) is 1164035051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Behavioral Health?
- Innovative Behavioral Health is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Innovative Behavioral Health located?
- Innovative Behavioral Health's practice location on file with NPPES is 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600.
- What is Innovative Behavioral Health's phone number?
- The practice phone number listed in the NPPES registry for Innovative Behavioral Health is (517) 515-6176.
- Does Innovative Behavioral Health accept Medicare?
- Innovative Behavioral Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Behavioral Health?
- The authorized official listed on Innovative Behavioral Health's NPPES record is Ricardo Tillery, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Behavioral Health's NPI active?
- Yes — Innovative Behavioral Health's NPI (1164035051) is active in the NPPES registry as of the last update on 2020-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.