Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ambrosia Nottage, LPC, CRC

Individual provider Professional Counselor · NPI 1457616609

Mrs. Ambrosia Nottage, LPC, CRC is a Mental Health Counselor in Southfield, Michigan. Qualified in 2011, 15 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

29201 Telegraph Rd Ste 550
Southfield, MI 48034-7664
Phone: (517) 492-0784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22550 Hall Rd, Clinton Township, MI 48036-1189 — (313) 550-3433

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401012758 (MI)

Record details

NPI number1457616609
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CRC
Sole proprietorYes
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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