Tanya D Mizell, NCC LPC CCTP2 ASDCS in Southgate, MI

Tanya D Mizell, NCC LPC CCTP2 ASDCS is a medicare enrolled "Counselor - Professional" provider in Southgate, Michigan. Her current practice location is 14799 Dix Toledo Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 324-8326.

Tanya D Mizell is licensed to practice in Michigan (license number 6401224388) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306316724.

Contact Information

	Tanya D Mizell, NCC LPC CCTP2 ASDCS
	14799 Dix Toledo Rd, Southgate, MI 48195-2507
	(734) 324-8326
	(734) 324-8327

Map and Direction

Healthcare Provider's Profile

Full Name	Tanya D Mizell
Gender	Female
Speciality	Counselor - Professional
Location	14799 Dix Toledo Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306316724
Provider Enumeration Date: 11/28/2018
Last Update Date: 05/02/2026

Medicare PECOS Information:

PECOS PAC ID: 6406295252
Enrollment ID: I20240412003715

Medical Identifiers

Medical identifiers for Tanya D Mizell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306316724	NPI	-	NPPES
1732823	Other		NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)
7A7B6	Other		CAGE/NCAGE
KLDNLGNS98C3	Other		SAM UNIQUE ENTITY ID
14898250	Other		CAQH PROVIEW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401224388 (Michigan)	Primary
101YP2500X	Counselor - Professional	C.2607971 (Ohio)	Secondary
101Y00000X	Counselor	6401224388 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401224388 (Michigan)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tanya D Mizell allows following entities to bill medicare on her behalf.

Entity Name	Unwavering Support Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861250490 PECOS PAC ID: 4688013436 Enrollment ID: O20240412003648

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanya D Mizell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tanya D Mizell, NCC LPC CCTP2 ASDCS 3763 17th St, Ecorse, MI 48229-1339 Ph: (734) 237-7199	Tanya D Mizell, NCC LPC CCTP2 ASDCS 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326

Reviews and Comments

Counselor in Southgate, MI

Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Kenicka Harper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026
Sinitra Applewhite, M.A Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 Heritage Dr Ste 520, Southgate, MI 48195 Phone: 800-693-1916
Lisa Goss, LLPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700

Tanya D Mizell, NCC LPC CCTP2 ASDCS - Medicare Counselor in Southgate, MI