Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407610694 Individual Practitioner Female Practitioner

Mistey Carroll

Peer Specialist • Petoskey, MI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mistey Carroll is a registered healthcare professional specializing in Peer Specialist in Petoskey, MI. Official NPI practice address is registered at 704 EMMET ST.

Practice Location & Contact Primary Location

Practice Address

704 Emmet St

Petoskey, MI 497702910

Telephone 2313475511
Associated Practice Facility / Clinic
🏢 Harbor Hall, Inc. Facility NPI 1962551648

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Petoskey, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Petoskey, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

520 N Main St Ste 202

Cheboygan, MI 497211162

Phone: 2315979234

118 Rush Street

Petoskey, MI 49770

Phone: 2313475511

114 Rush St

Petoskey, MI 497702920

Phone: 2313475511

2236 E Mitchell Rd Ste 5

Petoskey, MI 497709604

Phone: 2313475511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
NPI 1003690132

CADCD

Roy Angel

Counselor - Addiction (Substance Use Disorder)

NPI 1013482728
Danielle Plastino , BSW, CADC-DP

Case Manager/Care Coordinator

NPI 1043916125

Bachelor of Social Work, CADCDP

Paul Gauden

Behavior Technician

NPI 1053288514
Maureen Todd

Counselor - Professional

NPI 1053851519
NPI 1114634912

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2024

Registered at 704 EMMET ST, PETOSKEY, MI 497702910 (Tel: 2313475511)

📍
Updated Business Mailing Address February 08, 2024

Registered at 704 EMMET ST, PETOSKEY, MI 497702910 (Tel: 2313475511)

👤
Provider Name / Credentials Updated February 08, 2024

Recorded as MISTEY CARROLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407610694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2024
Last Update: February 08, 2024
Sole Proprietor: No

Mailing Address

704 Emmet St

Petoskey, MI 497702910

Phone: 2313475511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.