Tyleen Nicholas, MA, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401010729 Issued in MI

Practice address

43740 N Groesbeck Hwy
Clinton TWP, MI 48036-1139

Phone

(586) 365-9582

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1427420876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-365-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-365-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "TYLEEN",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401010729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Austin Newby, MSW
• Stacey Newcomb, LMSW
• Next Chapter Therapy Services PLLC
• Nicholas Leone, M.D., P.C.
• Christopher Nicholas, D.O.
• Ornela Nikaj
• Laura Jane Nikkel, RN
• Breeanna Nikolovski
• Nina H Rehman PC
• Carol A Norgiel

• Professional Counselor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.