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TEAM WELLNESS CENTER
NPI 1588855100
Clinic/Center - Community Health in Detroit, MI

Active since August 08, 2007
2925 RUSSELL ST, DETROIT, MI 48207(313) 396-5300(313) 396-5353 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Jan 30, 2023, Mar 17, 2018 (3 updates tracked since 2018).

About Team Wellness Center NPPES

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

TEAM WELLNESS CENTER (NPI 1588855100) is a healthcare organization registered as a community health in Detroit, Michigan and active in the NPI registry since August 2007. The organization maintains 6 additional practice locations and lists Ashley Nicole Segrest, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588855100
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameTEAM WELLNESS CENTER
Location Address2925 RUSSELL STDetroit, MI 48207-4825
Mailing Address290 Town Center Dr Ste 400Dearborn, MI 48126-2765 · (313) 274-3700
Phone(313) 396-5300
Fax(313) 396-5353
Organization SubpartNo
Authorized OfficialAshley Nicole SegrestExecutive Director · (313) 274-3700
Enumeration DateAugust 8, 2007
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1588855100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2925 RUSSELL ST, Detroit, MI 48207
Open in Google Maps ↗

Other Names 1

Doing Business AsTeam Wellness Center

Secondary Practice Locations 6

Location 16309 Mack AveDetroit, MI 48207-2302 · Phone (313) 331-3435 · Fax (313) 274-4900
Location 214799 Dix Toledo RdSouthgate, MI 48195-2507 · Phone (734) 324-8326 · Fax (313) 274-4900
Location 311105 E Jefferson AveDetroit, MI 48214-3317 · Phone (313) 396-5300 · Fax (313) 821-4493
Location 434290 Ford RdWestland, MI 48185-3051 · Phone (734) 412-8800 · Fax (313) 274-4900
Location 5421 S Mitchell StCadillac, MI 49601-2477 · Phone (231) 942-5005 · Fax (231) 829-7115
Location 610201 E Jefferson AveDetroit, MI 48214-3149 · Phone (313) 446-8980 · Fax (313) 499-8389

Other Identifiers 1

Medicaid4696337MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Team Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20081030000384Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Team Wellness Center, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker46
Nurse Practitioner38
Mental Health Counselor19
Psychiatry10
Internal Medicine2
Pediatric Medicine1

Nearest to this location (20)

See all 116
Darnella Hankins
Mental Health Counselor
NPI 1760039986
2925 RUSSELL ST
Detroit, MI 48207
(561) 870-1503
✔ PECOSSame address
Britney Young, LMSW
Clinical Social Worker
NPI 1861039679
2925 RUSSELL ST
Detroit, MI 48207
(313) 392-5300
✔ PECOS✔ Accepts MedicareSame address
Aishia Brown, MA,LPC
Mental Health Counselor
NPI 1750688347
2925 RUSSELL ST
Detroit, MI 48207
(313) 926-7081
✔ PECOSSame address
Leon Charette
Clinical Social Worker
NPI 1689840936
2925 RUSSELL ST
Detroit, MI 48207
(226) 347-1520
✔ PECOS✔ Accepts MedicareSame address
Randia Dickerson, LMSW
Clinical Social Worker
NPI 1366044653
2925 RUSSELL ST
Detroit, MI 48207
(313) 500-1262
✔ PECOSSame address
Rhoddy Jones, NP
Nurse Practitioner
NPI 1659401065
2925 RUSSELL ST
Detroit, MI 48207
(313) 831-3160
✔ PECOS✔ Accepts MedicareSame address
Iesha Odum, MS, CAADC, LPC
Mental Health Counselor
NPI 1689008609
2925 RUSSELL ST
Detroit, MI 48207
(248) 747-2798
✔ PECOSSame address
Ayana Singleton, BA, SST
Mental Health Counselor
NPI 1609359678
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Iris Tucker Lloyd, LMSW, LPC
Clinical Social Worker
NPI 1447330840
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Holly Bennett, LLMSW
Clinical Social Worker
NPI 1942791843
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOSSame address
Ruby Bowens, LMSW, CSW
Clinical Social Worker
NPI 1932306347
2925 RUSSELL ST
Detroit, MI 48207
(313) 961-3200
✔ PECOSSame address
John Head, DO
Psychiatry
NPI 1750393690
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Bradley Lake, LMSW
Clinical Social Worker
NPI 1083261705
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Nalo Morant, LMSW
Clinical Social Worker
NPI 1154794311
2925 RUSSELL ST
Detroit, MI 48207
(313) 369-5300
✔ PECOS✔ Accepts MedicareSame address
Jeannine Peck, LMSW
Clinical Social Worker
NPI 1245741230
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Dorothy Robinson, LLMSW
Clinical Social Worker
NPI 1649514233
2925 RUSSELL ST
Detroit, MI 48207
(248) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Ashley Turner, LPC
Mental Health Counselor
NPI 1467817973
2925 RUSSELL ST
Detroit, MI 48207
(313) 285-6818
✔ PECOSSame address
Angela Watley
Mental Health Counselor
NPI 1205339041
2925 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOSSame address
Bushra Alsafari
Clinical Social Worker
NPI 1114323060
2939 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
Evelyn Martin, BS, SST
Clinical Social Worker
NPI 1093000515
2939 RUSSELL ST
Detroit, MI 48207
(313) 396-5300
✔ PECOS✔ Accepts MedicareSame address
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Team Wellness Center's NPI number?

The NPI number for Team Wellness Center is 1588855100. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Team Wellness Center located?

Team Wellness Center is located at 2925 Russell St, Detroit, MI 48207. The listed phone number is (313) 396-5300.

What is Team Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Team Wellness Center enrolled in Medicare?

Yes. Team Wellness Center is registered in the Medicare PECOS enrollment system.

When is Team Wellness Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Team Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 6 Medicare specialties reassign their Medicare billing to Team Wellness Center. A 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 the clinician's services. The largest specialties are Clinical Social Worker (46), Nurse Practitioner (38) and Mental Health Counselor (19). Of these, 20 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Team Wellness Center 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 list Team Wellness Center 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 Team Wellness Center was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.