Maple Street Counseling Center Pllc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Cottage Grove, Tennessee. The current practice location for Maple Street Counseling Center Pllc is 95 Ward Ln, Cottage Grove, Tennessee. For appointments, you can reach them via phone at (270) 610-0704. The mailing address for Maple Street Counseling Center Pllc is 230 Tyson Ave Ste B, Pmb 199, Paris, Tennessee and phone number is (270) 610-0704.
Maple Street Counseling Center Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598354813. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (270) 610-0704.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Maple Street Counseling Center Pllc 230 Tyson Ave Ste B Pmb 199 Paris TN 38242-5823 Ph: (270) 610-0704
Maple Street Counseling Center Pllc 95 Ward Ln Cottage Grove TN 38224-5245 Ph: (270) 610-0704
NPI Details:
NPI Number
1598354813
Provider Enumeration Date
01/12/2021
Last Update Date
03/04/2026
Certification Date
03/04/2026
Medicare PECOS Information:
Medicare PECOS PAC ID
3779928155
Medicare Enrollment ID
O20240226000199
Medical Identifiers
Medical identifiers for Maple Street Counseling Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1598354813
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YM0800X
Counselor - Mental Health
(* (Not Available))
Secondary
103K00000X
Behavior Analyst
(* (Not Available))
Secondary
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Secondary
101YP2500X
Counselor - Professional
(* (Not Available))
Secondary
103TB0200X
Psychologist - Cognitive & Behavioral
(* (Not Available))
Secondary
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maple Street Counseling Center Pllc acts as a billing entity for following providers: