THE GOLDEN ROOM CHILDREN'S MENTAL HEALTH SERVICES, LLC.
NPI 1174348247
Clinic/Center - Adolescent and Children Mental Health in Detroit, MI
About The Golden Room Children's Mental Health Services, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE GOLDEN ROOM CHILDREN'S MENTAL HEALTH SERVICES, LLC. (NPI 1174348247) is a healthcare organization registered as an adolescent and children mental health in Detroit, Michigan and active in the NPI registry since November 2024. The organization lists Dorah Kristine Carter, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Golden Room Children's Mental Health Services, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Golden Room Children's Mental Health Services, LLC., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Golden Room Children's Mental Health Services, LLC.'s NPI number?
The NPI number for The Golden Room Children's Mental Health Services, LLC. is 1174348247. It was assigned to this organization in the NPPES registry on November 22, 2024.
Where is The Golden Room Children's Mental Health Services, LLC. located?
The Golden Room Children's Mental Health Services, LLC. is located at 6006 Yorkshire Rd, Detroit, MI 48224. The listed phone number is (989) 220-8777.
What is The Golden Room Children's Mental Health Services, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is The Golden Room Children's Mental Health Services, LLC. enrolled in Medicare?
Yes. The Golden Room Children's Mental Health Services, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Golden Room Children's Mental Health Services, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to The Golden Room Children's Mental Health Services, LLC.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Golden Room Children's Mental Health Services, LLC. was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# The Golden Room Children's Mental Health Services, Llc. · NPI 1174348247
Adolescent and Children Mental Health organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since November 22, 2024.
## Identity
- **NPI:** 1174348247 (Entity type: Organization)
- **Enumerated:** November 22, 2024
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Dorah Carter, OWNER
## Practice location
- **Address:** 6006 YORKSHIRE RD, Detroit, MI 48224-3826
- **Phone:** (989) 220-8777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174348247) · Data from the CMS NPPES public registry.