Individual provider Active NPI

Olivia Noel Messer, MA, LLPC

  • Counselor
  • Clarkston, MI
National Provider Identifier
1669003646
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017951 Issued in MI
Practice address
7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone
(248) 791-9266
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017951 MI Primary

Addresses

Primary practice location

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095

Mailing address

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone (248) 791-9266

Other identifiers 1

IdentifierTypeStateIssuer
2049255OtherMICOUNSELING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address omesser@elliementalhealth.com Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401017951MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovations by Gomes Incorporated CurrentSince Oct 13, 2024 Accepting new patients

Locations

7640 Dixie Hwy
Ste 155
Clarkston, MI 48346
Phone (248) 791-9266

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1669003646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-791-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-791-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSER",
        "first_name": "OLIVIA",
        "middle_name": "NOEL",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING",
            "identifier": "2049255",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omesser@elliementalhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7640 Dixie Hwy Ste 155",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483462095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.