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ANGELA MARIE WATLEY
NPI 1205339041
Counselor - Mental Health in Detroit, MI

Active since March 16, 2018PECOS Enrolled
2925 RUSSELL ST, DETROIT, MI 48207(313) 396-5300 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2022, Mar 16, 2018 (2 updates tracked since 2018).

About Angela Marie Watley NPPES

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

ANGELA MARIE WATLEY (NPI 1205339041) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6401222327) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205339041
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA MARIE WATLEY
Location Address2925 RUSSELL STDetroit, MI 48207-4825
Mailing Address2925 Russell StDetroit, MI 48207-4825 · (313) 396-5300
Phone(313) 396-5300
Sole ProprietorNo
Enumeration DateMarch 16, 2018
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1205339041 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 · 6401222327
2925 RUSSELL ST, Detroit, MI 48207
Open in Google Maps ↗

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, Priority Health 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)

Angela Marie Watley 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 Angela Watley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Team Wellness Center
Same address
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.

MARCIA M WICKER RN
Registered Nurse
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SAMARA JOHNSON
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (888) 813-8326
MS. CATHY LYNN EUSEARY CARE COORDINATOR
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
CAMILLA YAVETTE WILLIAMS MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
BRIDGET MYKE CTRS
Recreation Therapist
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
AUSTIN DAVID URLAUB LLMSW, DP-C
Social Worker
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
SANDRA FAYE DEH
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 396-5300
MRS. TONI RENEE BUNTON MSW
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Wayne County (313) 389-3963

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 Angela Watley's NPI number?

The NPI number for Angela Watley is 1205339041. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Angela Watley located?

Angela Watley practices at 2925 Russell St, Detroit, MI 48207. The listed phone number is (313) 396-5300.

What is Angela Watley's specialty?

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

Is Angela Watley enrolled in Medicare?

Yes. Angela Watley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Watley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Watley 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 Angela Watley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Watley accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Angela Watley 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 Angela Watley was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.