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

Tabitha Nicole Miskokomon, LLPC

Individual provider Mental Health Counselor · NPI 1255195558

Tabitha Nicole Miskokomon, LLPC is a Mental Health Counselor in Clinton Township, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

36975 Utica Rd
Clinton Township, MI 48036-1685
Phone: (586) 260-4209
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451023453 (MI)

Record details

NPI number1255195558
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPC
Sole proprietorYes
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Clinton Township