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NICOLE HARTY
NPI 1013314061
Counselor - Professional in Clarkston, MI

Active since November 19, 2014PECOS Enrolled
7640 DIXIE HWY STE 155, CLARKSTON, MI 48346(248) 791-9266 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Harty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE HARTY (NPI 1013314061) is an individual professional provider in Clarkston, Michigan, licensed in Michigan (6401225433) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Drexel University College Of Medicine (2010).

NPPES Registry Identity

NPI1013314061
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE HARTY
Location Address7640 DIXIE HWY STE 155Clarkston, MI 48346-2095
Mailing Address7485 White Lake RdWhite Lake, MI 48383-1160
Phone(248) 791-9266
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2010
Enumeration DateNovember 19, 2014
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1013314061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MI · 6401225433✔ Licensed in PA · PC007649
7640 DIXIE HWY STE 155, Clarkston, MI 48346
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Secondary Practice Location 1

Location 124 Frank Lloyd Wright Dr Ste L-400Ann Arbor, MI 48105-9484 · Phone (734) 995-6755

Other Identifiers 1

Medicaid200912175PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Harty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173096427
PECOS Enrollment IDI20260626004029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Harty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rooted In Love, LLC
26 mi
Mental Health (Including Community Mental Health Center)
2029 S ELMS RD STE 101
Swartz Creek, MI 48473
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1497267884 (810) 285-8429

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN NEPJUK
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
AVA HERBERGER
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
PATRICK C.A MARCOUX MS, LPC
Counselor (Mental Health)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
MRS. TANYA ROE LMSW
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
MRS. OLIVIA-PATRICIA NASH MA, LPC
Counselor (Professional)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
MRS. TRISH MARIE BROWN MA, SCL, LPC, NCC
Counselor (Professional)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266
LYNN LESCHUK LLMSW
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 912-6353
KEELY LOUISE WAGNER LLP, MS
Psychologist
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Oakland County (248) 791-9266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Harty's NPI number?

The NPI number for Nicole Harty is 1013314061. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Nicole Harty located?

Nicole Harty practices at 7640 Dixie Hwy Ste 155, Clarkston, MI 48346. The listed phone number is (248) 791-9266.

What is Nicole Harty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Harty enrolled in Medicare?

Yes. Nicole Harty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Harty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Harty reassigns Medicare benefits to Rooted In Love, LLC (Swartz Creek, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Harty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Harty accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nicole Harty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Harty was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.