Mastermind Isa Masterpeace

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801122890 Issued in MI

Practice address

1251 Glynn CT # C306
Detroit, MI 48202-1460

Phone

(313) 778-0609

NPI assigned

Apr 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Therapeutic Loft LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1457942583
  NPD Authorized official
• Elements of Wellness LLC

  • Community/Behavioral Health Agency
  • Warren, MI
  • NPI 1336652973
  NPD
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1790130714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24964 HILL AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914462",
            "telephone_number": "231-445-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 GLYNN CT # C306",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021460",
            "telephone_number": "313-778-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERPEACE",
        "first_name": "MASTERMIND",
        "middle_name": "ISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801122890",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M. Massie, M.D.
• Kristen Kay Massingill, AGNP-C, PMHNP-BC
• Sarah Massiri, BA
• Andrew Richard Mastay, DPM
• Rachel Lauren Mastay, CRNA
• David Lee Masters, CADC & ICADC
• Kenneth Grant Masters, DO
• Shelby Ann Masters, MD
• Alyssa Masterson, FNP
• Raywa Masti, MD

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.