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Phaedra Noelle Bartlett

Counselor - Professional β€’ Davison, MI

Active NPI 1043244585 Individual Practitioner Female Practitioner
Practice location in NPPES

1063 S State Rd Ste 6
Davison, MI 484231900

Call 8106737211 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1063 S State Rd Ste 6

Davison, MI 484231900

Telephone 8106737211
Organization at the Same NPPES Address or Phone
Wrinkles Of Wisdom Senior Mental Health Services Facility NPI 1245090455

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Davison and Michigan

8 active clinicians are listed under Counselor - Professional with a practice address in Davison, MI (4,962 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MI 6401008276
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES MI 6401008276
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 12, 2024

Registered at 1063 S STATE RD STE 6, DAVISON, MI 484231900 (Tel: 8106737211)

πŸ“
Updated Business Mailing Address January 12, 2024

Registered at 9427 NASHUA TRL, FLUSHING, MI 484338837 (Tel: 8102871425)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2024

Counselor (license number reported to NPPES: MI 6401008276)

βœ…
NPI Profile Active October 25, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 25, 2007

Registered at 2360 S LINDEN RD, SUITE 300, FLINT, MI 485325420 (Tel: 8107320560)

πŸ“
Business Mailing Address (Initial Record) October 25, 2007

Registered at 2360 S LINDEN RD, SUITE 300, FLINT, MI 485325420 (Tel: 8107320560)

πŸ‘€
Provider Name / Credentials (Initial Record) October 25, 2007

Recorded as PHAEDRA BARTLETT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2007

Counselor (license number reported to NPPES: MI 6401008276)

🟒
Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043244585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: January 12, 2024
Sole Proprietor: Yes

Mailing Address

9427 Nashua Trl

Flushing, MI 484338837

Phone: 8102871425

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.