Individual provider Active NPI

Nicole Ryan Schram, LPC

  • Counselor
  • Midland, MI
National Provider Identifier
1215483805
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015516 Issued in MI
Practice address
214 W Wackerly St Ste 200
Midland, MI 48640-2795
Phone
(989) 832-2165
Fax
(989) 839-4376
NPI assigned
Sep 1, 2016
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015516 MI Primary

Addresses

Primary practice location

214 W Wackerly St Ste 200
Midland, MI 48640-2795

Mailing address

214 W Wackerly St Ste 200
Midland, MI 48640-2795
Phone (989) 272-3812

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
I20240105001320 MI Practitioner - Mental Health Counselor 2163873951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellrooted Counseling LLCGroup PAC ID 7719418102, 5 clinicians

Practice addresses (Care Compare)

214 W Wackerly St
Midland, MI 48640-2795
Phone (989) 272-3812

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Change: Psychological & Community Services, PLC CurrentSince Jan 1, 2024 Accepting new patients
Wellrooted Counseling LLC Counselor CurrentSince Aug 25, 2024 Accepting new patients

Locations

214 W Wackerly St
Midland, MI 48640
Phone (989) 272-3812

214 W Wackerly St
Ste 2
Midland, MI 48640

214 W Wackerly St
Ste 200
Midland, MI 48640
Phone (989) 272-3812

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

Organizations & group practices 2

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1215483805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795",
            "telephone_number": "989-272-3812",
            "fax_number": "989-203-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795",
            "telephone_number": "989-832-2165",
            "fax_number": "989-839-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "NICOLE",
        "middle_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.