Active NPI
Carolynn Meredith Metz, LPC, CAADC, CCS-R
- Professional Counselor
- Dearborn Heights, MI
National Provider Identifier
1174826812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401008009
- Practice address
- 20651 W Warren St
Dearborn Heights, MI 48127-2698 - Phone
- (313) 271-3050
- NPI assigned
- Dec 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401008009 | MI | Primary |
Addresses
Primary practice location
20651 W Warren St
Dearborn Heights, MI 48127-2698
Mailing address
28325 Rockwood St
Saint Clair Shores, MI 48081-3639
Phone (586) 854-4657
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17177 N Laurel Park Dr
Suite 131
Livonia, MI 48152-3952
Phone (734) 462-3210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401008009 | MI | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1174826812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28325 ROCKWOOD ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813639",
"telephone_number": "586-854-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20651 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272698",
"telephone_number": "313-271-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "CAROLYNN",
"middle_name": "MEREDITH",
"credential": "LPC, CAADC, CCS-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401008009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
- Bhargav Mehta
- Jamie Marie Melendez, AGACNP
- Lujain Merza
- Metro Medic Inc
- Metropolitan Foot Care Services PC
- William Michels III, D.O.
- Michigan Dental Associates II PC (Cambridge Dental Center PC)
- Michigan First Medical Group PLC
- Michigan First Urgent Care PLC
- Michigan Glaucoma Institute PC (yaldo eye center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.