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BEVERLY JACKSON FRAZIER
NPI 1083491823
Counselor - Mental Health in Southgate, MI

Active since September 14, 2023PECOS Enrolled
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(248) 686-9634 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beverly Jackson Frazier NPPES

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

BEVERLY JACKSON FRAZIER (NPI 1083491823) is an individual mental health provider in Southgate, Michigan, licensed in Michigan (6401004160) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083491823
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY JACKSON FRAZIER
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507 · (248) 686-9634
Phone(248) 686-9634
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1083491823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401004160
14799 DIX TOLEDO RD, Southgate, MI 48195
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Jackson Frazier is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Beverly Frazier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Team Wellness Center
13 mi
Community Health
2925 RUSSELL ST
Detroit, MI 48207
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Team Mental Health Services Inc
  • 116 clinicians in this Medicare group
NPI 1588855100 (313) 396-5300

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 20

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

MS. CELESTE PATRICIA ALLEN SST
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326
MR. KENNETH LOVE II
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326
ZAHRAA SAAB
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326
NICOLE KATHRYN HESS B.A. S.S.T.
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (248) 210-6615
BRITTANY JONES
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326
CORRI ALEXANDRA TURMELL
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (316) 500-9260
FATIMA ALBANEH
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326
CHRISTOPHER IVAN MURPHY
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (734) 324-8326

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 Beverly Frazier's NPI number?

The NPI number for Beverly Frazier is 1083491823. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Beverly Frazier located?

Beverly Frazier practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (248) 686-9634.

What is Beverly Frazier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Beverly Frazier enrolled in Medicare?

Yes. Beverly Frazier is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Frazier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Frazier reassigns Medicare benefits to Team Wellness Center (Detroit, 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 Beverly Frazier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Frazier accept?

Health plans from Blue Care Network of Michigan and Priority Health list Beverly Frazier 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 Beverly Frazier was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.