Active NPI
Dontia Wilson
- Mental Health Counselor
- Lincoln Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westland, MI
- NPI 1184684979
-
- Mental Health Counselor
- Detroit, MI
- NPI 1851127021
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418004122 | MI | Practitioner - Mental Health Counselor | 2567801830 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Wellness | Mental Health | Current | Accepting new patients |
| Hegira Health, Inc. | Current | Accepting new patients | |
| Hegira Health, Inc | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.