Active NPI
Theresa J Nolden
- Counselor
- Detroit, MI
National Provider Identifier
1427589449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401015856
- Practice address
- 13037 Corbett St
Detroit, MI 48213-2073 - Phone
- (313) 969-7737
- Fax
- (313) 969-7737
- NPI assigned
- Mar 22, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401015856 | MI | Primary |
Addresses
Primary practice location
13037 Corbett St
Detroit, MI 48213-2073
Mailing address
13037 Corbett St # 201
Detroit, MI 48213-2073
Phone (313) 969-7737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015856 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1427589449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13037 CORBETT ST # 201",
"city": "DETROIT",
"state": "MI",
"postal_code": "482132073",
"telephone_number": "313-969-7737",
"fax_number": "313-969-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13037 CORBETT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482132073",
"telephone_number": "313-969-7737",
"fax_number": "313-969-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLDEN",
"first_name": "THERESA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401015856",
"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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.