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

Mary A Mummaw, LPC

Individual provider Mental Health Counselor · NPI 1730313552

Mary A Mummaw, LPC is a Mental Health Counselor in Traverse City, Michigan. Qualified in 2006, 20 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10139 E Grandview Rd
Traverse City, MI 49684-5429
Phone: (989) 293-4927
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 605 Beckon Rd, Pellston, MI 49769-9315 — (989) 293-4927

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401010130 (MI)

Record details

NPI number1730313552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 7, 2009
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Traverse City