Active NPI
Allcare Mental Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Southfield, MI
National Provider Identifier
1558216630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ALLCARE MENTAL WELLNESS LLC
- Practice address
- 24225 W 9 Mile Rd Ste 170
Southfield, MI 48033-3978 - Phone
- (248) 796-7466
- Fax
- (336) 654-0824
- NPI assigned
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Shandrea Johnson
- Title
- Provider
- Phone
- (313) 731-2719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Home Health Agency | 251E00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
24225 W 9 Mile Rd Ste 170
Southfield, MI 48033-3978
Mailing address
24225 W 9 Mile Rd Ste 170
Southfield, MI 48033-3978
Phone (248) 796-7466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24225 W 9 Mile Rd
Ste 170
Southfield, MI 48033
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Detroit, MI
- NPI 1730572660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1558216630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24225 W 9 MILE RD STE 170",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333978",
"telephone_number": "248-796-7466",
"fax_number": "336-654-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24225 W 9 MILE RD STE 170",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333978",
"telephone_number": "248-796-7466",
"fax_number": "336-654-0824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLCARE MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "SHANDREA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "313-731-2719"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.