Active NPI
Carly Betel
- Mental Health Counselor
- Rochester Hills, MI
National Provider Identifier
1588971121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6301014571
- Practice address
- 725 Barclay Circle
Suite 225
Rochester Hills, MI 48307 - Phone
- (248) 559-8190
- Fax
- (248) 702-6704
- NPI assigned
- Sep 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6301014571 | MI | |
| Mental Health Counselor | 101YM0800X | 6301014571 | MI | Primary |
Addresses
Primary practice location
725 Barclay Circle
Suite 225
Rochester Hills, MI 48307
Mailing address
8336 Colony Ridge Dr
White Lake, MI 48386
Phone (248) 798-6212
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 |
|---|---|---|---|
| 6301014571 | MI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1588971121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8336 COLONY RIDGE DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "48386",
"telephone_number": "248-798-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 BARCLAY CIRCLE",
"address_2": "SUITE 225",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-559-8190",
"fax_number": "248-702-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETEL",
"first_name": "CARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301014571",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6301014571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.