TINA EALEY LLC
NPI 1649831280
Counselor - Professional in Detroit, MI
About Tina Ealey Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA EALEY LLC (NPI 1649831280) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401224849) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Tina Ealey Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tina Ealey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Michigan enrollment
- 83 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48234
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 Tina Ealey's NPI number?
The NPI number for Tina Ealey is 1649831280. It was assigned to this individual provider in the NPPES registry on June 25, 2019.
Where is Tina Ealey located?
Tina Ealey practices at 20216 Albany St, Detroit, MI 48234. The listed phone number is (734) 366-9424.
What is Tina Ealey's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tina Ealey enrolled in Medicare?
Yes. Tina Ealey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tina Ealey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Ealey reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Tina Ealey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Ealey 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 Tina Ealey 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 Tina Ealey was last updated on April 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tina Ealey, LLC · NPI 1649831280
Professional provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 25, 2019.
## Identity
- **NPI:** 1649831280 (Entity type: Individual)
- **Enumerated:** June 25, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 20216 ALBANY ST, Detroit, MI 48234-2505
- **Phone:** (734) 366-9424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649831280) · Data from the CMS NPPES public registry.