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DR. THOMAS EDWARD FISH PHD, MA, MFA, CHT
NPI 1205348117
Counselor - Mental Health in Southgate, MI

Active since November 01, 2017PECOS Enrolled
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(989) 971-9445 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas Edward Fish Phd, Ma, Mfa, Cht NPPES

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

DR. THOMAS EDWARD FISH PHD, MA, MFA, CHT (NPI 1205348117) is an individual mental health provider in Southgate, Michigan, licensed in Michigan (6401007638) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205348117
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. THOMAS EDWARD FISHCredential: PHD, MA, MFA, CHT
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507 · (989) 971-9445
Phone(989) 971-9445
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 1, 2017
✔ NPI 1205348117 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 · 6401007638
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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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)

Dr. Thomas Edward Fish Phd, Ma, Mfa, Cht is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123587367
PECOS Enrollment IDI20260827002527
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 Thomas Fish 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
ANDREA JEAN PAYNE
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Wayne County (888) 813-8326
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

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 Thomas Fish's NPI number?

The NPI number for Thomas Fish is 1205348117. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Thomas Fish located?

Thomas Fish practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (989) 971-9445.

What is Thomas Fish's specialty?

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

Is Thomas Fish enrolled in Medicare?

Yes. Thomas Fish is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Fish's services?

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

What insurance does Thomas Fish accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Thomas Fish 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 Thomas Fish was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.