Active NPI
Nahren Nina Tamou
- Mental Health Counselor
- Troy, MI
National Provider Identifier
1932601002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451019844
- Practice address
- 888 W Big Beaver Rd
Troy, MI 48084-4736 - Phone
- (248) 561-0619
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451019844 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd
Troy, MI 48084-4736
Mailing address
72868 Solanus Dr
Bruce TWP, MI 48065-3165
Phone (248) 561-0619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6451019844 | Medicaid | MI |
Other names 1
- Nina Tamou
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451019844 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Professional Counseling, P.C. | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Shelby Township, MI
- NPI 1073084083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1932601002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72868 SOLANUS DR",
"city": "BRUCE TWP",
"state": "MI",
"postal_code": "480653165",
"telephone_number": "248-561-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844736",
"telephone_number": "248-561-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMOU",
"first_name": "NAHREN",
"middle_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451019844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6451019844",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "TAMOU",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.