COURTNEY MARIE PICKWORTH
NPI 1760054076
Counselor in Novi, MI

Q: What is Courtney Pickworth's NPI number?

The NPI number for Courtney Pickworth is 1760054076. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Courtney Pickworth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since July 15, 2021PECOS Enrolled

41800 W 11 MILE RD STE 110, NOVI, MI 48375(877) 693-5543(248) 221-1775 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Courtney Marie Pickworth NPPES

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

COURTNEY MARIE PICKWORTH (NPI 1760054076) is an individual counselor in Novi, Michigan and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redford, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760054076

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY MARIE PICKWORTH

Location Address41800 W 11 MILE RD STE 110Novi, MI 48375-1818

Mailing Address38954 Plumbrook DrFarmington Hills, MI 48331-2973 · (734) 776-9245

Phone(877) 693-5543

Fax(248) 221-1775

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 15, 2021

Last NPPES UpdateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1760054076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

41800 W 11 MILE RD STE 110, Novi, MI 48375

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Secondary Practice Location 1

Location 19315 Telegraph RdRedford, MI 48239-1260 · Phone (313) 450-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Marie Pickworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638666076

PECOS Enrollment IDI20251017001761

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 Courtney Pickworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellie Mental Health Live Authentic PLLC

Same address

Counseling

41800 W 11 MILE RD STE 110
Novi, MI 48375

Reassigned Medicare billing, Michigan enrollment
12 clinicians in this Medicare group

NPI 1760193031 (947) 219-1283

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY SUE METZGER MSW, LMSW

Social Worker (Clinical)