MS. CAROL BLAIR-HOUSTON (RN; MSW;CAADC-M) – Addiction (Substance Use Disorder) Counselor, NPI 1699142778
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MS. CAROL BLAIR-HOUSTON (RN; MSW;CAADC-M)
16821 MARK TWAIN ST
DETROIT, MI 482354066
Phone: (313) 999-8724
Type: Location
39880 Van Dyke Ave Ste 202
Sterling Heights, MI 483134670
Phone: (313) 403-8787
Fax: (313) 370-5660
Type: Location
13575 LESURE ST
DETROIT, MI 482273131
Phone: (313) 493-4410
Fax: (313) 493-4415
Type: Mailing
1200 N TELEGRAPH RD # 32
PONTIAC, MI 483411032
Phone: (800) 231-1127
Type: Location
39880 VAN DYKE AVE STE 202A
STERLING HEIGHTS, MI 483134670
Phone: (313) 999-8724
Fax: (313) 370-5660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251125000453 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48235)
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