Severia Adolphus, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704170742 Issued in MI

Practice address

31235 Harper Ave Ste 244
Saint Clair Shores, MI 48082-1425

Phone

(313) 334-8402

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, GA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Wayne State University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Life Alternatives LLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarisse Michelle Carter

  • Primary Care Nurse Practitioner
  • Southfield, MI
  • NPI 1932247889

  MI

  Medicare reassignment
• Christal Eason, LMSW, CAAC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1790924470

  MI

  Medicare reassignment
• Adriene Maddox, LLMSW

  • Professional Counselor
  • Mount Clemens, MI
  • NPI 1639720469

  MI

  Medicare reassignment
• Chasity Danielle Shelton, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1053685594

  MI

  Medicare reassignment
• Janice West, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, MI
  • NPI 1497417976

  MI

  Medicare reassignment

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.

• New Life Alternatives LLC

  • Multi-Specialty Clinic/Center
  • Berkley, MI
  • NPI 1033759659

  Clinic/Center, GA, MI

  Medicare reassignment Care Compare group NPD Authorized official
• A Better Tomorrow Counseling and Consultation Services, LLC

  • Mental Health Counselor
  • Redford, MI
  • NPI 1962763052

  Clinic/Center, MI

  Medicare reassignment NPD
• Beyond the Surface Counseling & Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
  • NPI 1912618752

  Clinic/Center, MI

  Medicare reassignment NPD
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Monroe, MI
  • NPI 1023655149
  NPD
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812

  Clinic/Center

  NPD

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1992939052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31235 HARPER AVE STE 244",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821425",
            "telephone_number": "313-915-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31235 HARPER AVE STE 244",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821425",
            "telephone_number": "313-334-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPHUS",
        "first_name": "SEVERIA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704170742",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704170742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Abiragi, MD
• Able Hearts Care LLC
• Abundant Wellness, PLLC
• Florence Arabia P Acebedo, FNP-C
• Katelyn Adams, MA LLPC
• Advance Spine & Pain
• Advanced Physical Medicine, P.C.
• Affiliated Health Services, Inc.
• Affinity Home Care, LLC
• George S Afram, MD

• All providers in Saint Clair Shores, MI
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.