Active NPI
Nicole Mammo
- Mental Health Counselor
- Detroit, MI
National Provider Identifier
1326556028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801090969
- Practice address
- 22341 W 8 Mile Rd Ste 102
Detroit, MI 48219-1217 - Phone
- (313) 326-4889
- NPI assigned
- Jan 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801090969 | MI | Primary |
Addresses
Primary practice location
22341 W 8 Mile Rd Ste 102
Detroit, MI 48219-1217
Mailing address
22341 W 8 Mile Rd Ste 102
Detroit, MI 48219-1217
Phone (313) 326-4889
Other practice location 1
22341 W 8 Mile Rd Ste 102
Detroit, MI 48219-1217
Phone (313) 326-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090969 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1326556028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22341 W 8 MILE RD STE 102",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191217",
"telephone_number": "313-326-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22341 W 8 MILE RD STE 102",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191217",
"telephone_number": "313-326-4889"
}
],
"practiceLocations": [
{
"address_1": "22341 W 8 Mile Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482191217",
"country_code": "US",
"telephone_number": "313-326-4889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMMO",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801090969",
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.