Mandi Marie Ciacelli-Brown, LPN

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

4703095538 Issued in MI

Practice address

3250 N Monroe St
Monroe, MI 48162-9297

Phone

(734) 384-3402

NPI assigned

May 8, 2019

Last updated

May 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1801451463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 GODFROY AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622766",
            "telephone_number": "734-344-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629297",
            "telephone_number": "734-384-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIACELLI-BROWN",
        "first_name": "MANDI",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "4703095538",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "4703095538",
            "primary": true
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "MI",
            "license": "4703095538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Counseling Solutions LLC
• Lesa Chopra, D.O
• Christopher B Kelly MD PC
• CHS Group LLC
• CHS Group LLC
• Deanne Ciacelli
• Miranda K Cicero
• Jessica Cislo, MS, CCC-SLP
• City of Monroe
• Teresa Anne Clark-Jones, 174H0000X

• Substance Abuse Rehabilitation Facility in Monroe, MI
• Providers in Monroe, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.