MRS. AMBROSIA NOTTAGE LPC,CRC
NPI 1457616609
Counselor - Professional in Southfield, MI
About Mrs. Ambrosia Nottage Lpc,crc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMBROSIA NOTTAGE LPC,CRC (NPI 1457616609) is an individual professional provider in Southfield, Michigan, licensed in Michigan (6401012758) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton Township, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Ambrosia Nottage Lpc,crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ambrosia Nottage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 451 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
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 Ambrosia Nottage's NPI number?
The NPI number for Ambrosia Nottage is 1457616609. It was assigned to this individual provider in the NPPES registry on July 12, 2012.
Where is Ambrosia Nottage located?
Ambrosia Nottage practices at 29201 Telegraph Rd Ste 550, Southfield, MI 48034. The listed phone number is (517) 492-0784.
What is Ambrosia Nottage's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ambrosia Nottage enrolled in Medicare?
Yes. Ambrosia Nottage is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ambrosia Nottage's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ambrosia Nottage reassigns Medicare benefits to Downriver Mental Health Clinic PC (Southfield, 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 Ambrosia Nottage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ambrosia Nottage accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Ambrosia Nottage 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 Ambrosia Nottage was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Ambrosia Nottage, LPC,CRC · NPI 1457616609
Professional provider in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since July 12, 2012.
## Identity
- **NPI:** 1457616609 (Entity type: Individual)
- **Enumerated:** July 12, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401012758 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 29201 TELEGRAPH RD STE 550, Southfield, MI 48034-7664
- **Phone:** (517) 492-0784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Downriver Mental Health Clinic PC (NPI 1346378981, Southfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457616609) · Data from the CMS NPPES public registry.