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CAROLYN DENISE NELSON
NPI 1932975927
Counselor - Mental Health in Westland, MI

Active since November 30, 2023PECOS Enrolled
30555 MICHIGAN AVE, WESTLAND, MI 48186(734) 629-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Denise Nelson NPPES

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

CAROLYN DENISE NELSON (NPI 1932975927) is an individual mental health provider in Westland, Michigan and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932975927
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN DENISE NELSON
Location Address30555 MICHIGAN AVEWestland, MI 48186-5310
Mailing Address30555 Michigan AveWestland, MI 48186-5310 · (734) 629-5000 · Fax (734) 722-8397
Phone(734) 629-5000
Sole ProprietorYes
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1932975927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
30555 MICHIGAN AVE, Westland, MI 48186
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Denise Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Pure Psychiatry Of Michigan PLLC
2.1 mi
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
NPI 1831701671 (313) 292-7640

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 9

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

COURTNEY ELENI SIMS
Student in an Organized Health Care Education/Training Program
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 595-3640
TANILLE BROWN
Social Worker
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 629-5000
PATRICIA ALFARO
Social Worker (School)
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 595-3640
RONAY LASHAWN PEGUIES
Social Worker (Clinical)
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 629-5000
STEPHANIE MARIE CARRIER
Social Worker
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 629-5000
TRIA DISHMON
Social Worker (Clinical)
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 629-5000
JACQUELINE GODIN
Student in an Organized Health Care Education/Training Program
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (313) 924-7860
ANDREW JORDAN ARCHE
Social Worker (Clinical)
30555 MICHIGAN AVE
WESTLAND, MI 48186
Wayne County (734) 629-5000

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 Carolyn Nelson's NPI number?

The NPI number for Carolyn Nelson is 1932975927. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Carolyn Nelson located?

Carolyn Nelson practices at 30555 Michigan Ave, Westland, MI 48186. The listed phone number is (734) 629-5000.

What is Carolyn Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carolyn Nelson enrolled in Medicare?

Yes. Carolyn Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Nelson reassigns Medicare benefits to Pure Psychiatry Of Michigan PLLC (Wayne, 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 Carolyn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Paramount list Carolyn Nelson 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 Carolyn Nelson was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.