Organization Active NPI

Clay Counseling and Consulting

  • Mental Health Counselor
  • Dearborn, MI
National Provider Identifier
1265067821
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLAY COUNSELING AND CONSULTING
Practice address
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone
(313) 318-8208
NPI assigned
Mar 4, 2020
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Nicole ClayNPI 1750911087
Title
Professional Counselor/ Owner
Phone
(313) 318-8208

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Mailing address

PO Box 442563
Detroit, MI 48244-2563
Phone (313) 318-8208

Other names 1

  • Nicole Clay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608001310 MI Part B Supplier - Clinic/Group Practice 8628456373 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1265067821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442563",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482442563",
            "telephone_number": "313-318-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "313-318-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/ OWNER",
        "authorized_official_telephone_number": "313-318-8208"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Clay",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nicole Clay",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.