CORISSA CARLSON
NPI 1093008880
Psychologist - Clinical in Clinton Township, MI
About Corissa Carlson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORISSA CARLSON (NPI 1093008880) is an individual clinical provider in Clinton Township, Michigan, licensed in Michigan (6301017222) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Corissa Carlson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Corissa Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLINTON TOWNSHIP, MI 48038
CLINTON TOWNSHIP, MI 48038
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 Corissa Carlson's NPI number?
The NPI number for Corissa Carlson is 1093008880. It was assigned to this individual provider in the NPPES registry on May 26, 2011.
Where is Corissa Carlson located?
Corissa Carlson practices at 42815 Garfield Rd Ste 201, Clinton Township, MI 48038. The listed phone number is (586) 333-5328.
What is Corissa Carlson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Corissa Carlson enrolled in Medicare?
Yes. Corissa Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Corissa Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corissa Carlson reassigns Medicare benefits to Macomb Therapy Group, PLLC (Clinton Township, 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 Corissa Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Corissa Carlson 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 Corissa Carlson 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 Corissa Carlson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Corissa Carlson · NPI 1093008880
Clinical provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since May 26, 2011.
## Identity
- **NPI:** 1093008880 (Entity type: Individual)
- **Enumerated:** May 26, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301017222 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 42815 GARFIELD RD STE 201, Clinton Township, MI 48038-1143
- **Phone:** (586) 333-5328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Macomb Therapy Group, PLLC (NPI 1801245972, Clinton Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093008880) · Data from the CMS NPPES public registry.