By Moonlight and Tide Psychotherapy PLLC
NPI 1912798174 · Mental Health Clinic/Center (Including Community Mental Health Center) · Okemos, MI
By Moonlight and Tide Psychotherapy PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Okemos, MI (NPI 1912798174).
Provider details
- NPI number
- 1912798174
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cassiann Procenko, Clinical Director(320) 310-8895
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 740 Kimberly Apt 302Lake Orion, MI 48362-2963Phone: (248) 266-0625
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Frequently asked questions
- What is By Moonlight and Tide Psychotherapy PLLC's NPI number?
- By Moonlight and Tide Psychotherapy PLLC's National Provider Identifier (NPI) is 1912798174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is By Moonlight and Tide Psychotherapy PLLC?
- By Moonlight and Tide Psychotherapy PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is By Moonlight and Tide Psychotherapy PLLC located?
- By Moonlight and Tide Psychotherapy PLLC's practice location on file with NPPES is 2222 W Grand River Ave Ste a, Okemos, MI 48864-1604.
- What is By Moonlight and Tide Psychotherapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for By Moonlight and Tide Psychotherapy PLLC is (248) 266-0625.
- Who is the authorized official for By Moonlight and Tide Psychotherapy PLLC?
- The authorized official listed on By Moonlight and Tide Psychotherapy PLLC's NPPES record is Cassiann Procenko, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is By Moonlight and Tide Psychotherapy PLLC's NPI active?
- Yes — By Moonlight and Tide Psychotherapy PLLC's NPI (1912798174) is active in the NPPES registry as of the last update on 2025-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.