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TANYA D MIZELL NCC LPC CCTP2 ASDCS
NPI 1306316724
Counselor - Professional in Southgate, MI

Active since November 28, 2018PECOS Enrolled
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 324-8326(734) 324-8327 Get Directions Write a Review

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

Record update history: May 2, 2026, Jun 29, 2024, Jun 9, 2024 and 5 more (8 updates tracked since 2018).

About Tanya D Mizell Ncc Lpc Cctp2 Asdcs NPPES

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

TANYA D MIZELL NCC LPC CCTP2 ASDCS (NPI 1306316724) is an individual professional provider in Southgate, Michigan, licensed in Michigan (6401224388) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ecorse.

NPPES Registry Identity

NPI1306316724
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTANYA D MIZELLCredential: NCC LPC CCTP2 ASDCS
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address3763 17th StEcorse, MI 48229-1339 · (734) 237-7199
Phone(734) 324-8326
Fax(734) 324-8327
Sole ProprietorYes
Enumeration DateNovember 28, 2018
Last NPPES UpdateMay 2, 20268 updates tracked since enumeration
NPPES CertifiedMay 2, 2026
✔ NPI 1306316724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MI · 6401224388✔ Licensed in OH · C.2607971
Also ListedCounselorTaxonomy 101Y00000X · License 6401224388 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401224388 (MI)
14799 DIX TOLEDO RD, Southgate, MI 48195
Open in Google Maps ↗

Secondary Practice Location 1

Location 13763 17th StEcorse, MI 48229-1339 · Phone (734) 237-7199

Other Identifiers 4

Other1732823National Board For Certified Counselors (nbcc)
Other7A7B6Cage/ncage
OtherKLDNLGNS98C3Sam Unique Entity Id
Other14898250Caqh Proview

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)

Tanya D Mizell Ncc Lpc Cctp2 Asdcs 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 Tanya Mizell 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 Tanya Mizell's NPI number?

The NPI number for Tanya Mizell is 1306316724. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Tanya Mizell located?

Tanya Mizell practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 324-8326.

What is Tanya Mizell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tanya Mizell enrolled in Medicare?

Yes. Tanya Mizell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanya Mizell's services?

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

What insurance does Tanya Mizell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Tanya Mizell 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 Tanya Mizell was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.