Individual provider Active NPI

Kym Carlson, MA

  • Mental Health Counselor
  • Royal Oak, MI
National Provider Identifier
1184852824
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011500 Issued in MI
Practice address
26862 Woodward Ave Unit 103
Royal Oak, MI 48067-0958
Phone
(248) 858-7766
NPI assigned
Jul 1, 2009
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011500 MI
Mental Health Counselor 101YM0800X 6401011500 MI Primary

Addresses

Primary practice location

26862 Woodward Ave Unit 103
Royal Oak, MI 48067-0958

Mailing address

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 858-7766

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001962 MI Practitioner - Mental Health Counselor 0749626760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Family ServicesGroup PAC ID 5799684569, 5 clinicians

Practice addresses (Care Compare)

114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone (248) 858-7766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011500MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Oakland Family Services CurrentSince Jan 9, 2024 Accepting new patients
Oakland Family Services PastSince Oct 6, 2024 Accepting new patients
Mazher Hussain MD, PC Past Accepting new patients
North Point-Pioneer, Inc Past Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

26862 Woodward Ave
Unit 103
Royal Oak, MI 48067

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7909/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/oaklandfamilyservices/r4/

Organizations & group practices 5

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1184852824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412244",
            "telephone_number": "248-858-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26862 WOODWARD AVE UNIT 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670958",
            "telephone_number": "248-858-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KYM",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.