Individual provider Active NPI

Sebrina Cotton, MED

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1548632391
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223989 Issued in MI
Practice address
4321 E McNichols Rd
Detroit, MI 48212-1720
Phone
(313) 531-2500
NPI assigned
Oct 20, 2015
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223989 MI Primary
Professional Counselor 101YP2500X 86655 TX
Professional Counselor 101YP2500X E.1800821 OH

Addresses

Primary practice location

4321 E McNichols Rd
Detroit, MI 48212-1720

Mailing address

9595 Six Pines Dr Ste 8210
The Woodlands, TX 77380-1642
Phone (504) 343-1289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, CO, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240719003436 MI Practitioner - Mental Health Counselor 7012453517 Reassigns benefits to 2 organizations
I20240724001183 TX Practitioner - Mental Health Counselor 7012453517 Reassigns benefits to 1 organization
I20240724001817 CO Practitioner - Mental Health Counselor 7012453517 Reassigns benefits to 1 organization
I20240905004012 OH Practitioner - Mental Health Counselor 7012453517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Development Centers IncGroup PAC ID 0547254443, 15 clinicians

Practice addresses (Care Compare)

4321 E McNichols Rd
Detroit, MI 48212-1720
Phone (313) 531-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6401223989MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Development Centers, Inc. CurrentSince Sep 9, 2024 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jul 8, 2024 Accepting new patients

Locations

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 803-1664

455 E Eisenhower Pkwy
Ste 300
Ann Arbor, MI 48108
Phone (517) 580-5727

24424 W McNichols Rd
Detroit, MI 48219
Phone (313) 255-0900

17141 Ryan Rd
Hamtramck, MI 48212
Phone (313) 369-1717

4321 E McNichols Rd
Hamtramck, MI 48212
Phone (313) 334-6717

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 368-5493

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 945-3640

Interoperability endpoints

  • Direct secure messaging: sebrinacotton@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1548632391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR STE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801642",
            "telephone_number": "504-343-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121720",
            "telephone_number": "313-531-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "SEBRINA",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223989",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86655",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.