Active NPI
Kym Carlson, MA
- Mental Health Counselor
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401011500
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011500 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easterseals Morc Health Care, Inc. | Current | Accepting new patients | |
| Oakland Family Services | Current | Accepting new patients | |
| Oakland Family Services | Past | 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
- https://api.platform.athenahealth.com/7909/brand/1/csg/1/fhir/r4
- 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.
-
- Clinic/Center
- Pontiac, MI
- NPI 1598719395
-
dba Easter Seals-Michigan, Inc
- Psychiatry Physician
- Auburn Hills, MI
- NPI 1376526616
-
- Pain Medicine Physician
- Rochester Hills, MI
- NPI 1255581682
-
dba Pioneer Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sterling Heights, MI
- NPI 1457479917
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1003003617
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.