Advance Healing and Integrative Services LLC
NPI 1619635570 · Psychiatric/Mental Health Nurse Practitioner · Oak Park, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Healing and Integrative Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Oak Park, MI (NPI 1619635570).
Provider details
- NPI number
- 1619635570
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chenaull Jordan, Owner(480) 444-8184
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-12-07
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Frequently asked questions
- What is Advance Healing and Integrative Services LLC's NPI number?
- Advance Healing and Integrative Services LLC's National Provider Identifier (NPI) is 1619635570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Healing and Integrative Services LLC?
- Advance Healing and Integrative Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Advance Healing and Integrative Services LLC located?
- Advance Healing and Integrative Services LLC's practice location on file with NPPES is 12900 W 9 Mile Rd, Oak Park, MI 48237-2990.
- What is Advance Healing and Integrative Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Advance Healing and Integrative Services LLC is (480) 444-8184.
- Does Advance Healing and Integrative Services LLC accept Medicare?
- Advance Healing and Integrative Services LLC 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 Advance Healing and Integrative Services LLC?
- The authorized official listed on Advance Healing and Integrative Services LLC's NPPES record is Chenaull Jordan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Healing and Integrative Services LLC's NPI active?
- Yes — Advance Healing and Integrative Services LLC's NPI (1619635570) is active in the NPPES registry as of the last update on 2021-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.