Individual provider Active NPI

Robin Arnelle Harvell, COUNSELOR

  • Mental Health Counselor
  • Niles, MI
National Provider Identifier
1902140312
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401011717 Issued in MI
Practice address
20 N 2ND St Ste 103
Niles, MI 49120-2259
Phone
(269) 635-2396
Fax
(269) 397-2124
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401011717 MI Primary
Mental Health Counselor 101YM0800X 6401011717

Addresses

Primary practice location

20 N 2ND St Ste 103
Niles, MI 49120-2259

Mailing address

20 N 2ND St Ste 103
Niles, MI 49120-2259
Phone (269) 635-2396

Other practice location 1

2527 S 11th St
Niles, MI 49120-4747
Phone (269) 635-2396

Other practice location 2

3130 S 11th St
Niles, MI 49120-4736
Phone (269) 635-2396

Other practice location 3

1485 M 139
Benton Harbor, MI 49022-5711
Phone (269) 925-0585

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

LicenseStateTypeSpecialty
6401011717MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Wellness Current Accepting new patients
Integrity Modern Wellness LLC Mental Health Current Accepting new patients
Midwest Recovery and Wellness LLC Past Accepting new patients

Locations

20 N 2nd St
Ste 103
Niles, MI 49120
Phone (269) 262-1815

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1902140312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 2ND ST STE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202259",
            "telephone_number": "269-635-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 2ND ST STE 103",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202259",
            "telephone_number": "269-635-2396",
            "fax_number": "269-397-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2527 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204747",
            "country_code": "US",
            "telephone_number": "269-635-2396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204736",
            "country_code": "US",
            "telephone_number": "269-635-2396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 M 139",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490225711",
            "country_code": "US",
            "telephone_number": "269-925-0585",
            "fax_number": "269-927-1326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVELL",
        "first_name": "ROBIN",
        "middle_name": "ARNELLE",
        "name_prefix": "Mrs.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011717",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "6401011717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.