Individual provider Active NPI

Dontia Wilson

  • Mental Health Counselor
  • Lincoln Park, MI
National Provider Identifier
1093478596
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
26184 Outer Dr
Lincoln Park, MI 48146-2084
Phone
(313) 389-7510
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hegira Health Inc 41 clinicians

Practice addresses (Care Compare)

26650 Eureka Rd
Suite a
Taylor, MI 48180-4835
Phone (734) 955-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240418004122 MI Practitioner - Mental Health Counselor 2567801830 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Wellness Mental Health Current Accepting new patients
Hegira Health, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Hegira Health, Inc CurrentSince Apr 15, 2024 Accepting new patients

Locations

1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200

26184 Outer Dr
Lincoln Park, MI 48146
Phone (313) 389-7500

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

26650 Eureka Rd
Ste A
Taylor, MI 48180
Phone (313) 389-7500

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MI Primary

Addresses

NPPES NPI Registry

Primary practice location

26184 Outer Dr
Lincoln Park, MI 48146-2084

Mailing address

PO Box 92
Taylor, MI 48180-0092
Phone (419) 508-9566

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2021.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1093478596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481800092",
            "telephone_number": "419-508-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26184 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-389-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DONTIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.