Active NPI
Amyee J Carson, LLMSW
- Counselor
- Mount Pleasant, MI
National Provider Identifier
1639769433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801088185
- 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
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 | 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
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 |
|---|---|---|---|
| 6801088185 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mind Counseling Services, LLC | Current | 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.
-
- Clinical Social Worker
- Mt Pleasant, MI
- NPI 1336795533
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.