Active NPI
Ileah-Mare Smith-Allen, LPC
- Professional Counselor
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009805
- Practice address
- 8150 E 13 Mile Rd
Warren, MI 48093-8700 - Phone
- (586) 825-9700
- NPI assigned
- Mar 11, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009805 | MI | Primary |
Addresses
Primary practice location
8150 E 13 Mile Rd
Warren, MI 48093-8700
Mailing address
29623 Northwestern Hwy Ste 6
Southfield, MI 48034-1076
Phone (313) 932-5527
Other practice location 1
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone (313) 961-3886
Other names 1
- Ileah-Mare Nichols
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009805 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
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": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1992946529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29623 NORTHWESTERN HWY STE 6",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341076",
"telephone_number": "313-932-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 E 13 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480938700",
"telephone_number": "586-825-9700"
}
],
"practiceLocations": [
{
"address_1": "2051 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482081105",
"country_code": "US",
"telephone_number": "313-961-3886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-ALLEN",
"first_name": "ILEAH-MARE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ILEAH-MARE",
"last_name": "NICHOLS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.