MRS. AMBROSIA NOTTAGE LPC,CRC - NPI 1457616609

Q: 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.

Q: What is Ambrosia Nottage's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ambrosia Nottage was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1457616609

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMBROSIA NOTTAGECredential: LPC,CRC

Location Address29201 TELEGRAPH RD STE 550Southfield, MI 48034-7664

Mailing Address22550 Hall RdClinton Twp, MI 48036-1189 · (586) 850-3011

Phone(517) 492-0784

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 12, 2012

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1457616609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401012758

29201 TELEGRAPH RD STE 550, Southfield, MI 48034

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Secondary Practice Location 1

Location 122550 Hall RdClinton Township, MI 48036-1189 · Phone (313) 550-3433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ambrosia Nottage Lpc,crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436625910

PECOS Enrollment IDI20260421004138

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.

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.

MS. ALLISON SUE GLICKMAN LPC

Counselor (Professional)