Carolyn Denise Nelson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

30555 Michigan Ave
Westland, MI 48186-5310

Phone

(734) 629-5000

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment NPD
• All Well-Being Services

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1679663546
  NPD
• Adult Well Being Services

  • Case Management Agency
  • Detroit, MI
  • NPI 1023353984
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1417866450
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1932975927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30555 MICHIGAN AVE",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865310",
            "telephone_number": "734-629-5000",
            "fax_number": "734-722-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 MICHIGAN AVE",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865310",
            "telephone_number": "734-629-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROLYN",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Nathan, P.A.
• National Chaplain Service
• Dhanarani Navarose, PT
• Patricia Joann Neal, OTRL
• Maria Isabel Negron-Garcia
• New Aspirations Counseling and Consulting (New Aspirations Counseling & Consulting)
• New Faith Adult Day Program
• New Horizons Structured Recovery
• New Midwest Medical Equipments& Supplies
• Newburgh Heights Podiatrist PC

• Mental Health Counselor in Westland, MI
• Providers in Westland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.