Individual provider Active NPI

Nahren Nina Tamou

  • Mental Health Counselor
  • Troy, MI
National Provider Identifier
1932601002
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451019844 Issued in MI
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

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6451019844MedicaidMI

Other names 1

  • Nina Tamou Professional name

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
6451019844MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Professional Counseling, P.C. Mental Health PastSince May 4, 2021 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.

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.

Verify at the official NPI Registry.