Nicole Rylie Morine, MS, LPC, NCC, CYMHS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401018570 Issued in MI

Practice address

31600 Telegraph Rd Ste 230
Bingham Farms, MI 48025-4372

Phone

(248) 723-9200

Fax

(248) 723-9218

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Neurobehavioral Consultants, P.C.

  • Cognitive & Behavioral Psychologist
  • Bingham Farms, MI
  • NPI 1891906061
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1124888714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 230",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254372",
            "telephone_number": "248-723-9200",
            "fax_number": "248-723-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 230",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254372",
            "telephone_number": "248-723-9200",
            "fax_number": "248-723-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORINE",
        "first_name": "NICOLE",
        "middle_name": "RYLIE",
        "credential": "MS, LPC, NCC, CYMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018570",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018570",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Moore
• Tayaa Moore
• Sunem Morales-Mendez
• Yuridi Alicia Morales
• Megan Marie Morey
• Esmeralda I Morquecho
• Diamond Morris
• Leah Morris
• Morrison Foot & Ankle Center PLLC
• Amanda Morrison

• Counselor in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.