Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Health Clinic

Organization Mental Health Counselor · NPI 1184822769

Mental Health Clinic provides Mental Health Counselor services in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1514 W Milham Ave
Portage, MI 49024-1296 Not confirmed with CMS for 17 years — call before visiting
Phone: (269) 342-0606
Fax: (269) 342-0919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence RM4301052512 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401009051 (MI)

Record details

NPI number1184822769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravinder Mediratta — Owner · (269) 342-0606
NPI enumeratedJuly 5, 2007
Last updated in NPPESOctober 9, 2008
Mailing address1514 W Milham Ave, Portage, MI 49024-1296

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