Individual provider Active NPI

Amyee J Carson, LLMSW

  • Counselor
  • Mount Pleasant, MI
National Provider Identifier
1639769433
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801088185 Issued in MI
Practice address
207 N Franklin St
Mount Pleasant, MI 48858-2303
Phone
(989) 824-2374
Fax
(989) 546-8550
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801088185 MI Primary

Addresses

Primary practice location

207 N Franklin St
Mount Pleasant, MI 48858-2303

Mailing address

9288 E Broomfield Rd
Mount Pleasant, MI 48858-9124
Phone (231) 580-9428

Other names 1

  • Amyee Randall Other name

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

LicenseStateTypeSpecialty
6801088185MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Mind Counseling Services, LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

207 N Franklin St
Mt Pleasant, MI 48858
Phone (989) 824-2374

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1639769433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 E BROOMFIELD RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589124",
            "telephone_number": "231-580-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N FRANKLIN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582303",
            "telephone_number": "989-824-2374",
            "fax_number": "989-546-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "AMYEE",
        "middle_name": "J",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801088185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMYEE",
            "last_name": "RANDALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.