Erica Renee Carulli, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401017973 Issued in MI

Practice address

1923 Ardmore Ave
Royal Oak, MI 48073-4179

Phone

(248) 397-5080

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Soulspace Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Oak, MI
  • NPI 1093348781
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1861025249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 ARDMORE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734179",
            "telephone_number": "248-824-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 ARDMORE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734179",
            "telephone_number": "248-397-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARULLI",
        "first_name": "ERICA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline A Carter, PAC
• Mariah Carter
• Rikkia Rachea Carter
• Winifred Ann Carter, RN, ANP-BC
• Chase Carto, MD, MPH
• Alexandria Lee Case, MS
• Rita Marie Case, CGC
• Naomi V Casement, LMSW,CAADC
• Janela Castillo, PT
• Jillian Cater

• Counselor in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.