Organization Active NPI

Sam Total Wellness Solutions, LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1235921685
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAM TOTAL WELLNESS SOLUTIONS, LLC.
Practice address
20141 James Couzens
Ste 6
Detroit, MI 48235-1898
Phone
(313) 743-2126
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Nekisha Aurelia Bailey, DNP,PMHNP-BC,FNP-CNPI 1235795451
Title
Organizer
Phone
(313) 743-3126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

20141 James Couzens
Ste 6
Detroit, MI 48235-1898

Mailing address

20141 James Couzens
Ste 6
Detroit, MI 48235-1898
Phone (313) 743-2126

National Provider Directory

National Provider Directory

Locations

20141 James Couzens Fwy
Ste 6
Detroit, MI 48235
Phone (313) 743-2126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1235921685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20141 JAMES COUZENS",
            "address_2": "STE 6",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351898",
            "telephone_number": "313-743-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20141 JAMES COUZENS",
            "address_2": "STE 6",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351898",
            "telephone_number": "313-743-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM TOTAL WELLNESS SOLUTIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "NEKISHA",
        "authorized_official_middle_name": "AURELIA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "313-743-3126",
        "authorized_official_credential": "DNP,PMHNP-BC,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.