Individual provider Active NPI

Carlotta M Slater, LPC CADC

  • Counselor
  • Mount Clemens, MI
National Provider Identifier
1275857716
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011148 Issued in MI
Practice address
75 N Main St Ste 301
Mount Clemens, MI 48043-5695
Phone
(586) 580-4243
Fax
(855) 963-0458
NPI assigned
Mar 25, 2010
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011148 MI Primary

Addresses

Primary practice location

75 N Main St Ste 301
Mount Clemens, MI 48043-5695

Mailing address

75 N Main St Ste 301
Mount Clemens, MI 48043-5695
Phone (586) 580-4243

Other identifiers 1

IdentifierTypeStateIssuer
382230613OtherMIFIN#

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
I20250421001469 MI Practitioner - Mental Health Counselor 6608391875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 N Walnut St
Suite 302
Mount Clemens, MI 48043-5681
Phone (586) 580-4243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401011148MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Life Counseling LLC CurrentSince Mar 1, 2017 Accepting new patients

Locations

15 N Walnut St
Ste 302
Mount Clemens, MI 48043
Phone (586) 580-4243

13854 Lakeside Cir
Ste 245
Sterling Heights, MI 48313
Phone (586) 580-4243

Organizations & group practices 1

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1275857716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST STE 301",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435695",
            "telephone_number": "586-580-4243",
            "fax_number": "855-963-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST STE 301",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435695",
            "telephone_number": "586-580-4243",
            "fax_number": "855-963-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "CARLOTTA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIN#",
            "identifier": "382230613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.